Displaying 281 - 320 of 2652

13200

ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL
13230

Re-Instruction (Within 6 Months) - Excluding Audio-Visual Time
13232

Two units

 $148.02 $148.02
13200

ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL
13230

Re-Instruction (Within 6 Months) - Excluding Audio-Visual Time
13239

Each additional unit over two

 $74.0 $74.0
13200

ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL
13240

Oral Hygiene Instruction - Audio-Visual
13200

ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL
13240

Oral Hygiene Instruction - Audio-Visual
13241

One unit of time

 $74.0 $74.0
13200

ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL
13240

Oral Hygiene Instruction - Audio-Visual
13242

Two units

 $148.02 $148.02
13200

ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL
13240

Oral Hygiene Instruction - Audio-Visual
13249

Each additional unit over two

 $74.0 $74.0
13000

PREVENTIVE SERVICES, OTHER
13400

SEALANTS, PIT AND FISSURE (Mechanical and/or chemical preparation included)
13400

SEALANTS, PIT AND FISSURE (Mechanical and/or chemical preparation included)
13401

First tooth

 $34.06 $34.06
13400

SEALANTS, PIT AND FISSURE (Mechanical and/or chemical preparation included)
13409

Each additional tooth same quadrant

 $17.03 $17.03
13400

SEALANTS, PIT AND FISSURE (Mechanical and/or chemical preparation included)
13410

Preventive Restorative Resin (procedure that involves some preparation of the pits and/or fissures
in tooth enamel and may extend into dentin in limited areas)
13400

SEALANTS, PIT AND FISSURE (Mechanical and/or chemical preparation included)
13410

Preventive Restorative Resin (procedure that involves some preparation of the pits and/or fissures
in tooth enamel and may extend into dentin in limited areas)
13411

First tooth

 $75.74 $75.74
13400

SEALANTS, PIT AND FISSURE (Mechanical and/or chemical preparation included)
13410

Preventive Restorative Resin (procedure that involves some preparation of the pits and/or fissures
in tooth enamel and may extend into dentin in limited areas)
13419

Each additional tooth same quadrant

 $71.56 $71.56
13000

PREVENTIVE SERVICES, OTHER
13600

TOPICAL APPLICATION TO HARD TISSUE LESION(S) OF AN ANTIMICROBIAL OR REMINERALIZATION
AGENT
13600

TOPICAL APPLICATION TO HARD TISSUE LESION(S) OF AN ANTIMICROBIAL OR REMINERALIZATION
AGENT
13601

One unit of time

 $74.0
+Material Expenses 		$74.0
+Mater. Exp.
13600

TOPICAL APPLICATION TO HARD TISSUE LESION(S) OF AN ANTIMICROBIAL OR REMINERALIZATION
AGENT
13602

Two units

 $148.02
+Material Expenses 		$148.02
+Mater. Exp.
13600

TOPICAL APPLICATION TO HARD TISSUE LESION(S) OF AN ANTIMICROBIAL OR REMINERALIZATION
AGENT
13609

Each additional unit over two

 $74.0 $74.0
10000

PREVENTION
14000

APPLIANCES
14000

APPLIANCES
14100

APPLIANCES, REMOVABLE, CONTROL OF ORAL HABITS
14100

APPLIANCES, REMOVABLE, CONTROL OF ORAL HABITS
14101

Appliance, Maxillary

 $546.42
+Lab Costs 		$546.42
+Lab Costs
14100

APPLIANCES, REMOVABLE, CONTROL OF ORAL HABITS
14102

Appliance, Mandibular

 $546.42
+Lab Costs 		$546.42
+Lab Costs
14000

APPLIANCES
14200

APPLIANCES, FIXED/CEMENTED, CONTROL OF ORAL HABITS
14200

APPLIANCES, FIXED/CEMENTED, CONTROL OF ORAL HABITS
14201

Appliance, Maxillary

 $599.74
+Lab Costs 		$599.74
+Lab Costs
14200

APPLIANCES, FIXED/CEMENTED, CONTROL OF ORAL HABITS
14202

Appliance, Mandibular

 $599.74
+Lab Costs 		$599.74
+Lab Costs
14000

APPLIANCES
14300

CONTROL OF ORAL HABITS, MISCELLANEOUS
14300

CONTROL OF ORAL HABITS, MISCELLANEOUS
14301

Motivation of Patient - Psychological Approach (e.g. thumb sucking, lip biting, etc.) - per visit

 $85.68
+Lab Costs 		$85.68
+Lab Costs
14300

CONTROL OF ORAL HABITS, MISCELLANEOUS
14310

Myofunctional Therapy
Additional Information: Add'l Info:

(e.g. to correct mouth breathing, abnormal swallowing, tongue thrust, etc.)
14300

CONTROL OF ORAL HABITS, MISCELLANEOUS
14310

Myofunctional Therapy
14311

First unit of time per visit

 $85.68
+Lab Costs 		$85.68
+Lab Costs
14300

CONTROL OF ORAL HABITS, MISCELLANEOUS
14310

Myofunctional Therapy
14312

Two units

 $171.35
+Lab Costs 		$171.35
+Lab Costs
14300

CONTROL OF ORAL HABITS, MISCELLANEOUS
14310

Myofunctional Therapy
14319

Each additional unit over two

 $85.68
+Lab Costs 		$85.68
+Lab Costs
14000

APPLIANCES
14400

APPLIANCES, CONTROL OF ORAL HABITS ADJUSTMENTS, REPAIRS, MAINTENANCE
14400

APPLIANCES, CONTROL OF ORAL HABITS ADJUSTMENTS, REPAIRS, MAINTENANCE
14401

One unit of time

 $85.68
+Lab Costs 		$85.68
+Lab Costs
14400

APPLIANCES, CONTROL OF ORAL HABITS ADJUSTMENTS, REPAIRS, MAINTENANCE
14402

Two units of time

 $171.35
+Lab Costs 		$171.35
+Lab Costs
14400

APPLIANCES, CONTROL OF ORAL HABITS ADJUSTMENTS, REPAIRS, MAINTENANCE
14403

Three units of time

 $257.03
+Lab Costs 		$257.03
+Lab Costs
14400

APPLIANCES, CONTROL OF ORAL HABITS ADJUSTMENTS, REPAIRS, MAINTENANCE
14409

Each additional unit over three

 $85.68
+Lab Costs 		$85.68
+Lab Costs
14000

APPLIANCES
14500

APPLIANCES, PROTECTIVE MOUTH GUARDS
14500

APPLIANCES, PROTECTIVE MOUTH GUARDS
14501

Appliance, Protected Mouth Guards, Preformed

 $88.61 $88.61
14500

APPLIANCES, PROTECTIVE MOUTH GUARDS
14502

Appliance, Protective Mouth Guards, Processed

 $96.96
+Lab Costs 		$96.96
+Lab Costs
14000

APPLIANCES
14600

APPLIANCES, PERIODONTAL
Additional Information: Add'l Info:

(see separate code for control of Oral Habits 14000, Protective Mouth Guards 14500, TMJ 14700 and
TMJ appliances 78700)
14600

APPLIANCES, PERIODONTAL
14610

Appliances, Periodontal (including bruxism appliance); Includes Impression, Insertion and Insertion
Adjustment (no post-insertion adjustments)
14600

APPLIANCES, PERIODONTAL
14610

Appliances, Periodontal (including bruxism appliance); Includes Impression, Insertion and Insertion
Adjustment (no post-insertion adjustments)
14611

Maxillary Appliance

 $436.94
+Lab Costs 		$436.94
+Lab Costs