Displaying 321 - 360 of 2652

14600

APPLIANCES, PERIODONTAL
14610

Appliances, Periodontal (including bruxism appliance); Includes Impression, Insertion and Insertion
Adjustment (no post-insertion adjustments)
14612

Mandibular Appliance

 $436.95
+Lab Costs 		$436.95
+Lab Costs
14600

APPLIANCES, PERIODONTAL
14620

Appliances, Adjustment, Repair
14600

APPLIANCES, PERIODONTAL
14620

Appliances, Adjustment, Repair
14621

One unit of time

 $79.45
+Lab Costs 		$79.45
+Lab Costs
14600

APPLIANCES, PERIODONTAL
14620

Appliances, Adjustment, Repair
14622

Two units

 $158.92
+Lab Costs 		$158.92
+Lab Costs
14600

APPLIANCES, PERIODONTAL
14620

Appliances, Adjustment, Repair
14623

Three units

 $238.37
+Lab Costs 		$238.37
+Lab Costs
14600

APPLIANCES, PERIODONTAL
14620

Appliances, Adjustment, Repair
14629

Each additional unit over three

 $79.45
+Lab Costs 		$79.45
+Lab Costs
14600

APPLIANCES, PERIODONTAL
14630

Appliances, Reline
14600

APPLIANCES, PERIODONTAL
14630

Appliances, Reline
14631

Reline, Direct

 $238.38 $238.38
14600

APPLIANCES, PERIODONTAL
14630

Appliances, Reline
14632

Reline, Processed

 $238.38
+Lab Costs 		$238.38
+Lab Costs
14000

APPLIANCES
14700

APPLIANCES, TEMPOROMANDIBULAR JOINT
14700

APPLIANCES, TEMPOROMANDIBULAR JOINT
14710

Appliance, TMJ, Diagnostic and/or Therapeutic, includes impression, insertion and insertion
adjustment (no post-insertion adjustments)
14700

APPLIANCES, TEMPOROMANDIBULAR JOINT
14710

Appliance, TMJ, Diagnostic and/or Therapeutic, includes impression, insertion and insertion
adjustment (no post-insertion adjustments)
14711

Maxillary Appliance

 $643.26
+Lab Costs 		$643.26
+Lab Costs
14700

APPLIANCES, TEMPOROMANDIBULAR JOINT
14710

Appliance, TMJ, Diagnostic and/or Therapeutic, includes impression, insertion and insertion
adjustment (no post-insertion adjustments)
14712

Mandibular Appliance

 $643.26
+Lab Costs 		$643.26
+Lab Costs
14700

APPLIANCES, TEMPOROMANDIBULAR JOINT
14720

Appliance, TMJ Intraoral Repositioning; includes impression, insertion and insertion adjustment (no
post-insertion adjustments)
14700

APPLIANCES, TEMPOROMANDIBULAR JOINT
14720

Appliance, TMJ Intraoral Repositioning; includes impression, insertion and insertion adjustment (no
post-insertion adjustments)
14721

Maxillary Appliance

 $643.26
+Lab Costs 		$643.26
+Lab Costs
14700

APPLIANCES, TEMPOROMANDIBULAR JOINT
14720

Appliance, TMJ Intraoral Repositioning; includes impression, insertion and insertion adjustment (no
post-insertion adjustments)
14722

Mandibular Appliance

 $643.26
+Lab Costs 		$643.26
+Lab Costs
14700

APPLIANCES, TEMPOROMANDIBULAR JOINT
14730

Appliance, TMJ, Periodic Maintenance, Adjustments, Repairs
14700

APPLIANCES, TEMPOROMANDIBULAR JOINT
14730

Appliance, TMJ, Periodic Maintenance, Adjustments, Repairs
14731

One unit of time

 $83.42
+Lab Costs 		$83.42
+Lab Costs
14700

APPLIANCES, TEMPOROMANDIBULAR JOINT
14730

Appliance, TMJ, Periodic Maintenance, Adjustments, Repairs
14732

Two units

 $166.84
+Lab Costs 		$166.84
+Lab Costs
14700

APPLIANCES, TEMPOROMANDIBULAR JOINT
14730

Appliance, TMJ, Periodic Maintenance, Adjustments, Repairs
14733

Three units

 $250.28
+Lab Costs 		$250.28
+Lab Costs
14700

APPLIANCES, TEMPOROMANDIBULAR JOINT
14730

Appliance, TMJ, Periodic Maintenance, Adjustments, Repairs
14739

Each additional unit over three

 $83.42
+Lab Costs 		$83.42
+Lab Costs
14700

APPLIANCES, TEMPOROMANDIBULAR JOINT
14740

Appliance, TMJ, Reline
14700

APPLIANCES, TEMPOROMANDIBULAR JOINT
14740

Appliance, TMJ, Reline
14741

Reline, Direct

 $238.38 $238.38
14700

APPLIANCES, TEMPOROMANDIBULAR JOINT
14740

Appliance, TMJ, Reline
14742

Reline, Indirect

 $238.38
+Lab Costs 		$238.38
+Lab Costs
14000

APPLIANCES
14800

APPLIANCES, MYOFACIAL PAIN DYSFUNCTION SYNDROME
Additional Information: Add'l Info:

(conditions that originate outside the temporomandibular joint)
14800

APPLIANCES, MYOFACIAL PAIN DYSFUNCTION SYNDROME
14810

Appliance, Myofascial Pain Dysfunction Syndrome, (to include: models, gnathological determinants)
Appliance Construction only, and insertion adjustment (no post-insertion adjustments)
14800

APPLIANCES, MYOFACIAL PAIN DYSFUNCTION SYNDROME
14810

Appliance, Myofascial Pain Dysfunction Syndrome, (to include: models, gnathological determinants)
Appliance Construction only, and insertion adjustment (no post-insertion adjustments)
14811

Maxillary Appliance

 $725.96
+Lab Costs 		$725.96
+Lab Costs
14800

APPLIANCES, MYOFACIAL PAIN DYSFUNCTION SYNDROME
14810

Appliance, Myofascial Pain Dysfunction Syndrome, (to include: models, gnathological determinants)
Appliance Construction only, and insertion adjustment (no post-insertion adjustments)
14812

Mandibular Appliance

 $725.96
+Lab Costs 		$725.96
+Lab Costs
14800

APPLIANCES, MYOFACIAL PAIN DYSFUNCTION SYNDROME
14820

Appliance, Myofacial Pain Dysfunction Syndrome, Periodic Maintenance, Adjustment and Repairs
14800

APPLIANCES, MYOFACIAL PAIN DYSFUNCTION SYNDROME
14820

Appliance, Myofacial Pain Dysfunction Syndrome, Periodic Maintenance, Adjustment and Repairs
14821

One unit of time

 $83.42
+Lab Costs 		$83.42
+Lab Costs
14800

APPLIANCES, MYOFACIAL PAIN DYSFUNCTION SYNDROME
14820

Appliance, Myofacial Pain Dysfunction Syndrome, Periodic Maintenance, Adjustment and Repairs
14822

Two units

 $166.84
+Lab Costs 		$166.84
+Lab Costs
14800

APPLIANCES, MYOFACIAL PAIN DYSFUNCTION SYNDROME
14820

Appliance, Myofacial Pain Dysfunction Syndrome, Periodic Maintenance, Adjustment and Repairs
14823

Three units

 $250.28
+Lab Costs 		$250.28
+Lab Costs
14800

APPLIANCES, MYOFACIAL PAIN DYSFUNCTION SYNDROME
14820

Appliance, Myofacial Pain Dysfunction Syndrome, Periodic Maintenance, Adjustment and Repairs
14829

Each additional unit over three

 $83.42
+Lab Costs 		$83.42
+Lab Costs
14000

APPLIANCES
14900

APPLIANCES, INTRAORAL, TO TREAT MEDICALLY DIAGNOSED OBSTRUCTIVE SLEEP APNEA,
SNORING, UPPER AIRWAY RESISTANCE SYNDROM (UARS) WITH OR WITHOUT APNEA (Includes
models, gnathological determinants, appliance construction and insertion adjustment [no post-
insertion adjustments])
14900

APPLIANCES, INTRAORAL, TO TREAT MEDICALLY DIAGNOSED OBSTRUCTIVE SLEEP APNEA,
SNORING, UPPER AIRWAY RESISTANCE SYNDROM (UARS) WITH OR WITHOUT APNEA (Includes
models, gnathological determinants, appliance construction and insertion adjustment [no post-
insertion adjustments])
14901

Appliance, Intraoral, For the Treatment of Obstructive Airway Disorders, Ridge or Tooth Supported

 $771.11
+Lab Costs 		$771.11
+Lab Costs
14900

APPLIANCES, INTRAORAL, TO TREAT MEDICALLY DIAGNOSED OBSTRUCTIVE SLEEP APNEA,
SNORING, UPPER AIRWAY RESISTANCE SYNDROM (UARS) WITH OR WITHOUT APNEA (Includes
models, gnathological determinants, appliance construction and insertion adjustment [no post-
insertion adjustments])
14902

Appliance, Tongue Retaining Device, for the Treatment of Obstructive Airway Disorders

 $436.94
+Material Expenses 		$436.94
+Mater. Exp.
14900

APPLIANCES, INTRAORAL, TO TREAT MEDICALLY DIAGNOSED OBSTRUCTIVE SLEEP APNEA,
SNORING, UPPER AIRWAY RESISTANCE SYNDROM (UARS) WITH OR WITHOUT APNEA (Includes
models, gnathological determinants, appliance construction and insertion adjustment [no post-
insertion adjustments])
14910

Appliance, Intraoral, For the Treatment of Obstructive Airway Disorders, Periodic Maintenance,
Adjustment and Repairs
14900

APPLIANCES, INTRAORAL, TO TREAT MEDICALLY DIAGNOSED OBSTRUCTIVE SLEEP APNEA,
SNORING, UPPER AIRWAY RESISTANCE SYNDROM (UARS) WITH OR WITHOUT APNEA (Includes
models, gnathological determinants, appliance construction and insertion adjustment [no post-
insertion adjustments])
14910

Appliance, Intraoral, For the Treatment of Obstructive Airway Disorders, Periodic Maintenance,
Adjustment and Repairs
14911

One unit of time

 $85.68
+Lab Costs 		$85.68
+Lab Costs
14900

APPLIANCES, INTRAORAL, TO TREAT MEDICALLY DIAGNOSED OBSTRUCTIVE SLEEP APNEA,
SNORING, UPPER AIRWAY RESISTANCE SYNDROM (UARS) WITH OR WITHOUT APNEA (Includes
models, gnathological determinants, appliance construction and insertion adjustment [no post-
insertion adjustments])
14910

Appliance, Intraoral, For the Treatment of Obstructive Airway Disorders, Periodic Maintenance,
Adjustment and Repairs
14912

Two units

 $171.35
+Lab Costs 		$171.35
+Lab Costs
14900

APPLIANCES, INTRAORAL, TO TREAT MEDICALLY DIAGNOSED OBSTRUCTIVE SLEEP APNEA,
SNORING, UPPER AIRWAY RESISTANCE SYNDROM (UARS) WITH OR WITHOUT APNEA (Includes
models, gnathological determinants, appliance construction and insertion adjustment [no post-
insertion adjustments])
14910

Appliance, Intraoral, For the Treatment of Obstructive Airway Disorders, Periodic Maintenance,
Adjustment and Repairs
14919

Each additional unit over two

 $85.68
+Lab Costs 		$85.68
+Lab Costs