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Displaying 2401 - 2440 of 2652

87000	Comprehensive orthodontic treatment, case type - removable appliances, PERMANENT DENTITION
87301	Class lll Malocclusion	Independent Consideration +Lab Costs	Indep. Consid. +Lab Costs

80000	ORTHODONTICS
88000	Comprehensive orthodontic treatment, case type - removable appliances, PERMANENT DENTITION
Additional Information:	Add'l Info:	(includes removable appliance therapy and retention; e.g. functional appliances)

88000	Comprehensive orthodontic treatment, case type - removable appliances, PERMANENT DENTITION
88101	Class l Malocclusion	$1747.83 - 5243.5 +Lab Costs	$1747.83 - 5243.5 +Lab Costs

88000	Comprehensive orthodontic treatment, case type - removable appliances, PERMANENT DENTITION
88201	Class ll Malocclusion	$2621.75 - 6991.34 +Lab Costs	$2621.75 - 6991.34 +Lab Costs

88000	Comprehensive orthodontic treatment, case type - removable appliances, PERMANENT DENTITION
88301	Class lll Malocclusion	$2621.75 - 6991.34 +Lab Costs	$2621.75 - 6991.34 +Lab Costs

80000	ORTHODONTICS
89500	NEONATAL DENTO-FACIAL ORTHOPEDICS
Additional Information:	Add'l Info:	(comprehensive treatment for first six months of life) (1) Diagnostic procedures (includes radiographs and/or photographs); (2) Parent consultation; (3) Impression and appliance construction; (4) Insertion and parent instruction; (5) Post treatment evaluation; (6) Adjustment of appliances (includes soft relin; (7) Reconstruction and/or reevaluation (may include up to two remakes).

89500	NEONATAL DENTO-FACIAL ORTHOPEDICS
89501	Expansion Appliance for Infants with Cleft Palate	$349.56 - 3146.09 +Lab Costs	$349.56 - 3146.09 +Lab Costs

89500	NEONATAL DENTO-FACIAL ORTHOPEDICS
89502	Extraoral Retraction Appliance for Infants with Cleft Palate	$349.56 - 3146.09 +Lab Costs	$349.56 - 3146.09 +Lab Costs

89500	NEONATAL DENTO-FACIAL ORTHOPEDICS
89503	Stage l - Initial Expansion	$1310.86 - 2621.75 +Lab Costs	$1310.86 - 2621.75 +Lab Costs

89500	NEONATAL DENTO-FACIAL ORTHOPEDICS
89504	Stage ll - Anterior Alignment	$1310.86 - 2621.75 +Lab Costs	$1310.86 - 2621.75 +Lab Costs

89500	NEONATAL DENTO-FACIAL ORTHOPEDICS
89505	Stage lll - Final Alignment (complete banding)	$2621.75 - 6991.34 +Lab Costs	$2621.75 - 6991.34 +Lab Costs

89500	NEONATAL DENTO-FACIAL ORTHOPEDICS
89506	Stage lll - Where Stage l and ll were not provided for	$5243.5 - 13982.71 +Lab Costs	$5243.5 - 13982.71 +Lab Costs

GENERAL SERVICES

90000	GENERAL SERVICES
91000	UNCLASSIFIED TREATMENTS

91000	UNCLASSIFIED TREATMENTS
91100	UNCLASSIFIED TREATMENT, DENTAL PAIN

91100	UNCLASSIFIED TREATMENT, DENTAL PAIN
91110	Palliative (emergency) Treatment of Dental Pain, Minor Procedure

91100	UNCLASSIFIED TREATMENT, DENTAL PAIN
91110	Palliative (emergency) Treatment of Dental Pain, Minor Procedure
91111	One unit of time	$107.98	$107.98

91100	UNCLASSIFIED TREATMENT, DENTAL PAIN
91110	Palliative (emergency) Treatment of Dental Pain, Minor Procedure
91112	Two units	$215.97	$215.97

91100	UNCLASSIFIED TREATMENT, DENTAL PAIN
91110	Palliative (emergency) Treatment of Dental Pain, Minor Procedure
91113	Three units	$323.95	$323.95

91100	UNCLASSIFIED TREATMENT, DENTAL PAIN
91110	Palliative (emergency) Treatment of Dental Pain, Minor Procedure
91119	Each additional unit over three	$107.98	$107.98

91100	UNCLASSIFIED TREATMENT, DENTAL PAIN
91120	Emergency Services Not Othewise Specified In Guide

91100	UNCLASSIFIED TREATMENT, DENTAL PAIN
91120	Emergency Services Not Othewise Specified In Guide
91121	One unit of time	$113.65	$113.65

91100	UNCLASSIFIED TREATMENT, DENTAL PAIN
91120	Emergency Services Not Othewise Specified In Guide
91122	Two units	$227.3	$227.3

91100	UNCLASSIFIED TREATMENT, DENTAL PAIN
91120	Emergency Services Not Othewise Specified In Guide
91123	Three units	$340.95	$340.95

91100	UNCLASSIFIED TREATMENT, DENTAL PAIN
91120	Emergency Services Not Othewise Specified In Guide
91129	Each additional unit over three	$113.65	$113.65

91000	UNCLASSIFIED TREATMENTS
91200	UNCLASSIFIED TREATMENT, UNUSUAL TIME AND RESPONSIBILITIES (Note: If the service affected is anaesthesia, code series 92000, and the unusual time and responsibility is the result of a patient BMI of 35 or above, refer to code series 92900)

91200	UNCLASSIFIED TREATMENT, UNUSUAL TIME AND RESPONSIBILITIES (Note: If the service affected is anaesthesia, code series 92000, and the unusual time and responsibility is the result of a patient BMI of 35 or above, refer to code series 92900)
91210	Unusual Time and Responsibility Requirement, In Addition To Usual Procedures In Guide

91200	UNCLASSIFIED TREATMENT, UNUSUAL TIME AND RESPONSIBILITIES (Note: If the service affected is anaesthesia, code series 92000, and the unusual time and responsibility is the result of a patient BMI of 35 or above, refer to code series 92900)
91210	Unusual Time and Responsibility Requirement, In Addition To Usual Procedures In Guide
91211	One unit of time	$124.98	$124.98

91200	UNCLASSIFIED TREATMENT, UNUSUAL TIME AND RESPONSIBILITIES (Note: If the service affected is anaesthesia, code series 92000, and the unusual time and responsibility is the result of a patient BMI of 35 or above, refer to code series 92900)
91210	Unusual Time and Responsibility Requirement, In Addition To Usual Procedures In Guide
91212	Two units	$249.99	$249.99

91200	UNCLASSIFIED TREATMENT, UNUSUAL TIME AND RESPONSIBILITIES (Note: If the service affected is anaesthesia, code series 92000, and the unusual time and responsibility is the result of a patient BMI of 35 or above, refer to code series 92900)
91210	Unusual Time and Responsibility Requirement, In Addition To Usual Procedures In Guide
91213	Three units	$374.97	$374.97

91200	UNCLASSIFIED TREATMENT, UNUSUAL TIME AND RESPONSIBILITIES (Note: If the service affected is anaesthesia, code series 92000, and the unusual time and responsibility is the result of a patient BMI of 35 or above, refer to code series 92900)
91210	Unusual Time and Responsibility Requirement, In Addition To Usual Procedures In Guide
91219	Each additional unit over three	$124.98	$124.98

91200	UNCLASSIFIED TREATMENT, UNUSUAL TIME AND RESPONSIBILITIES (Note: If the service affected is anaesthesia, code series 92000, and the unusual time and responsibility is the result of a patient BMI of 35 or above, refer to code series 92900)
91220	Second Surgeon (team approach)

91200	UNCLASSIFIED TREATMENT, UNUSUAL TIME AND RESPONSIBILITIES (Note: If the service affected is anaesthesia, code series 92000, and the unusual time and responsibility is the result of a patient BMI of 35 or above, refer to code series 92900)
91220	Second Surgeon (team approach)
91221	One unit of time	$107.98	$107.98

91200	UNCLASSIFIED TREATMENT, UNUSUAL TIME AND RESPONSIBILITIES (Note: If the service affected is anaesthesia, code series 92000, and the unusual time and responsibility is the result of a patient BMI of 35 or above, refer to code series 92900)
91220	Second Surgeon (team approach)
91222	Two units	$215.97	$215.97

91200	UNCLASSIFIED TREATMENT, UNUSUAL TIME AND RESPONSIBILITIES (Note: If the service affected is anaesthesia, code series 92000, and the unusual time and responsibility is the result of a patient BMI of 35 or above, refer to code series 92900)
91220	Second Surgeon (team approach)
91223	Three units	$323.95	$323.95

91200	UNCLASSIFIED TREATMENT, UNUSUAL TIME AND RESPONSIBILITIES (Note: If the service affected is anaesthesia, code series 92000, and the unusual time and responsibility is the result of a patient BMI of 35 or above, refer to code series 92900)
91220	Second Surgeon (team approach)
91224	Four units	$431.94	$431.94

91200	UNCLASSIFIED TREATMENT, UNUSUAL TIME AND RESPONSIBILITIES (Note: If the service affected is anaesthesia, code series 92000, and the unusual time and responsibility is the result of a patient BMI of 35 or above, refer to code series 92900)
91220	Second Surgeon (team approach)
91225	Five units	$539.92	$539.92

91200	UNCLASSIFIED TREATMENT, UNUSUAL TIME AND RESPONSIBILITIES (Note: If the service affected is anaesthesia, code series 92000, and the unusual time and responsibility is the result of a patient BMI of 35 or above, refer to code series 92900)
91220	Second Surgeon (team approach)
91226	Six units	$647.91	$647.91

91200	UNCLASSIFIED TREATMENT, UNUSUAL TIME AND RESPONSIBILITIES (Note: If the service affected is anaesthesia, code series 92000, and the unusual time and responsibility is the result of a patient BMI of 35 or above, refer to code series 92900)
91220	Second Surgeon (team approach)
91227	Seven units	$755.89	$755.89

91200	UNCLASSIFIED TREATMENT, UNUSUAL TIME AND RESPONSIBILITIES (Note: If the service affected is anaesthesia, code series 92000, and the unusual time and responsibility is the result of a patient BMI of 35 or above, refer to code series 92900)
91220	Second Surgeon (team approach)
91228	Eight units	$863.88	$863.88