Displaying 241 - 280 of 2652
| 11100 | POLISHING |
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| 11110 | SCALING |
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| 11114 | Four units |
$280.41 | $280.41 |
| 11100 | POLISHING |
||
| 11110 | SCALING |
||
| 11115 | Five units |
$350.51 | $350.51 |
| 11100 | POLISHING |
||
| 11110 | SCALING |
||
| 11116 | Six units |
$420.61 | $420.61 |
| 11100 | POLISHING |
||
| 11110 | SCALING |
||
| 11117 | One half unit |
$35.05 | $35.05 |
| 11100 | POLISHING |
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| 11110 | SCALING |
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| 11119 | Each Additional unit over six |
$70.1 | $70.1 |
| 10000 | PREVENTION |
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| 12100 | FLUORIDE TREATMENTS (whole mouth) |
| 12100 | FLUORIDE TREATMENTS (whole mouth) |
||
| 12110 | Topical, whole mouth, in office |
| 12100 | FLUORIDE TREATMENTS (whole mouth) |
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| 12110 | Topical, whole mouth, in office |
||
| 12111 | Rinse |
$30.26 | $30.26 |
| 12100 | FLUORIDE TREATMENTS (whole mouth) |
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| 12110 | Topical, whole mouth, in office |
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| 12112 | Gel or Foam |
$30.26 | $30.26 |
| 12100 | FLUORIDE TREATMENTS (whole mouth) |
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| 12110 | Topical, whole mouth, in office |
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| 12113 | Varnish |
$30.26 | $30.26 |
| 12100 | FLUORIDE TREATMENTS (whole mouth) |
||
| 12110 | Topical, whole mouth, in office |
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| 12114 | Self-Administered Brush-In, supervised |
$30.26 | $30.26 |
| 10000 | PREVENTION |
||
| 12600 | FLUORIDE, CUSTOM APPLIANCES, (home application) |
| 12600 | FLUORIDE, CUSTOM APPLIANCES, (home application) |
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| 12601 | Fluoride, Custom Appliance - Maxillary Arch |
$74.0
+Lab Costs |
$74.0
+Lab Costs |
| 12600 | FLUORIDE, CUSTOM APPLIANCES, (home application) |
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| 12602 | Fluoride, Custom Appliance - Mandibular Arch |
$74.0
+Lab Costs |
$74.0
+Lab Costs |
| 10000 | PREVENTION |
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| 12700 | MEDICATION, CUSTOM APPLIANCE |
| 12700 | MEDICATION, CUSTOM APPLIANCE |
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| 12701 | Medication, Custom Appliance - Maxillary Arch |
$74.0
+Lab Costs |
$74.0
+Lab Costs |
| 12700 | MEDICATION, CUSTOM APPLIANCE |
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| 12702 | Medication, Custom Appliance - Mandibular Arch |
$74.0
+Lab Costs |
$74.0
+Lab Costs |
| 10000 | PREVENTION |
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| 13000 | PREVENTIVE SERVICES, OTHER |
| 13000 | PREVENTIVE SERVICES, OTHER |
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| 13100 | NUTRITIONAL COUNSELING |
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| Additional Information: | Add'l Info: | Including: recording and analysis of up to seven-day dietary intake and consultation |
| 13100 | NUTRITIONAL COUNSELING |
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| 13101 | One unit of time |
$74.0 | $74.0 |
| 13100 | NUTRITIONAL COUNSELING |
||
| 13102 | Two units |
$148.02 | $148.02 |
| 13100 | NUTRITIONAL COUNSELING |
||
| 13103 | Three units |
$222.04 | $222.04 |
| 13100 | NUTRITIONAL COUNSELING |
||
| 13104 | Four units |
$296.06 | $296.06 |
| 13100 | NUTRITIONAL COUNSELING |
||
| 13109 | Each additional unit over four |
$74.0 | $74.0 |
| 13000 | PREVENTIVE SERVICES, OTHER |
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| 13200 | ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL |
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| Additional Information: | Add'l Info: | To include: brushing and/or flossing and/or embrasure cleaning. |
| 13200 | ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL |
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| 13210 | Individual Instruction (One Instructor To One Patient) - Excluding Audio-Visual Time |
| 13200 | ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL |
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| 13210 | Individual Instruction (One Instructor To One Patient) - Excluding Audio-Visual Time |
||
| 13211 | One unit of time |
$74.0 | $74.0 |
| 13200 | ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL |
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| 13210 | Individual Instruction (One Instructor To One Patient) - Excluding Audio-Visual Time |
||
| 13212 | Two units |
$148.02 | $148.02 |
| 13200 | ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL |
||
| 13210 | Individual Instruction (One Instructor To One Patient) - Excluding Audio-Visual Time |
||
| 13213 | Three units |
$222.04 | $222.04 |
| 13200 | ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL |
||
| 13210 | Individual Instruction (One Instructor To One Patient) - Excluding Audio-Visual Time |
||
| 13214 | Four units |
$296.06 | $296.06 |
| 13200 | ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL |
||
| 13210 | Individual Instruction (One Instructor To One Patient) - Excluding Audio-Visual Time |
||
| 13217 | One half of unit |
$37.0 | $37.0 |
| 13200 | ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL |
||
| 13210 | Individual Instruction (One Instructor To One Patient) - Excluding Audio-Visual Time |
||
| 13219 | Each additional unit over four |
$74.0 | $74.0 |
| 13200 | ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL |
||
| 13220 | Group Instruction - Excluding Audio-Visual Time |
| 13200 | ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL |
||
| 13220 | Group Instruction - Excluding Audio-Visual Time |
||
| 13221 | One unit of time |
$74.0 | $74.0 |
| 13200 | ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL |
||
| 13220 | Group Instruction - Excluding Audio-Visual Time |
||
| 13222 | Two units |
$148.02 | $148.02 |
| 13200 | ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL |
||
| 13220 | Group Instruction - Excluding Audio-Visual Time |
||
| 13223 | Three units |
$222.04 | $222.04 |
| 13200 | ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL |
||
| 13220 | Group Instruction - Excluding Audio-Visual Time |
||
| 13224 | Four units |
$296.06 | $296.06 |
| 13200 | ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL |
||
| 13220 | Group Instruction - Excluding Audio-Visual Time |
||
| 13229 | Each additional unit over four |
$74.0 | $74.0 |
| 13200 | ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL |
||
| 13230 | Re-Instruction (Within 6 Months) - Excluding Audio-Visual Time |
| 13200 | ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL |
||
| 13230 | Re-Instruction (Within 6 Months) - Excluding Audio-Visual Time |
||
| 13231 | One unit of time |
$74.0 | $74.0 |