NSDA DENTAL SERVICE CODE ADVISOR with Clinical Advice Notes. (Disclaimer)


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Code Category of Service Classification of Service Specific Service
01011 DIAGNOSTIC Exam & Diagnosis, Clinical Oral Dental Visit/Orientation
01101Comment DIAGNOSTIC Exam & Diagnosis, Clinical Oral Primary Dentition
01102Comment DIAGNOSTIC Exam & Diagnosis, Clinical Oral Mixed Dentition
01103Comment DIAGNOSTIC Exam & Diagnosis, Clinical Oral Permanent Dentition
01201 DIAGNOSTIC Exam & Diagnosis, Limited Oral New Patient
01202Comment DIAGNOSTIC Exam & Diagnosis, Limited Oral Previous Patient (recall)
01204Comment DIAGNOSTIC Exam & Diagnosis, Limited Oral Specific
01205 DIAGNOSTIC Exam & Diagnosis, Limited Oral Emergency
01206Comment DIAGNOSTIC Exam & Diagnosis, Limited Oral Analysis, Mixed Dentition
01301 DIAGNOSTIC Exam&Diagnosis,Stomatognathic, Dysfunc Comprehensive
01302 DIAGNOSTIC Exam&Diagnosis,Stomatognathic, Dysfunc Limited
01401 DIAGNOSTIC Exam & Diagnosis, Oral Pathology General
01402 DIAGNOSTIC Exam & Diagnosis, Oral Pathology Specific
01501 DIAGNOSTIC Exam & Diagnosis, Periodontal General
01502 DIAGNOSTIC Exam & Diagnosis, Periodontal Previous Patient
01503 DIAGNOSTIC Exam & Diagnosis, Periodontal Specific
01601 DIAGNOSTIC Exam & Diagnosis, Surgical General
01602 DIAGNOSTIC Exam & Diagnosis, Surgical Specific
01701 DIAGNOSTIC Exam & Diagnosis, Prosthodontic Edentulous
01702 DIAGNOSTIC Exam & Diagnosis, Prosthodontic Specific
01703 DIAGNOSTIC Exam & Diagnosis, Prosthodontic Fixed Oral Rehabilitation
01801 DIAGNOSTIC Exam & Diagnosis, Endodontic Complete
01802 DIAGNOSTIC Exam & Diagnosis, Endodontic Specific
01901 DIAGNOSTIC Exam & Diagnosis, Orthodontic General
01902 DIAGNOSTIC Exam & Diagnosis, Orthodontic Specific
02101 DIAGNOSTIC Radiographs, Regional/Localized ComplSeries (12min)
02102 DIAGNOSTIC Radiographs, Regional/Localized Complete Series (16min)
02111 DIAGNOSTIC Radiographs, Periapical - Single image
02112 DIAGNOSTIC Radiographs, Periapical - Two images
02113 DIAGNOSTIC Radiographs, Periapical - Three images
02114 DIAGNOSTIC Radiographs, Periapical - Four images
02115 DIAGNOSTIC Radiographs, Periapical - Five images
02116 DIAGNOSTIC Radiographs, Periapical - Six images
02117 DIAGNOSTIC Radiographs, Periapical - Seven images
02118 DIAGNOSTIC Radiographs, Periapical - Eight images
02119 DIAGNOSTIC Radiographs, Periapical - Nine images
02120 DIAGNOSTIC Radiographs, Periapical - Ten images
02121 DIAGNOSTIC Radiographs, Periapical - Eleven images
02122 DIAGNOSTIC Radiographs, Periapical - Twelve images
02123 DIAGNOSTIC Radiographs, Periapical - Thirteen images
02124 DIAGNOSTIC Radiographs, Periapical - Fourteen images
02125 DIAGNOSTIC Radiographs, Periapical - Fifteen images
02131 DIAGNOSTIC Radiographs, Occlusal - Single image
02132 DIAGNOSTIC Radiographs, Occlusal - Two images
02133 DIAGNOSTIC Radiographs, Occlusal - Three images
02134 DIAGNOSTIC Radiographs, Occlusal - Four images
02141 DIAGNOSTIC Radiographs, Bitewing - Single image
02142 DIAGNOSTIC Radiographs, Bitewing - Two images
02143 DIAGNOSTIC Radiographs, Bitewing - Three images
02144 DIAGNOSTIC Radiographs, Bitewing - Four images
02151 DIAGNOSTIC Radiographs, Reg/Localized, other Single image
02152 DIAGNOSTIC Radiographs, Reg/Localized, other Two images
02153 DIAGNOSTIC Radiographs, Reg/Localized, other Three images
02154 DIAGNOSTIC Radiographs, Reg/Localized, other Four images
02159 DIAGNOSTIC Radiographs, Reg/Localized, other Each Additional image Over 4
02501 DIAGNOSTIC Rgraphs, TMJ Single image
02502 DIAGNOSTIC Rgraphs, TMJ Two images
02503 DIAGNOSTIC Rgraphs, TMJ Three images
02504 DIAGNOSTIC Rgraphs, TMJ Four images (minimum exam)
02509 DIAGNOSTIC Rgraphs, TMJ Each Additional image Over 4
02601 DIAGNOSTIC Radiographs, Panoramic Single image
02701 DIAGNOSTIC Radiographs, Cephalometric Single image
02702 DIAGNOSTIC Radiographs, Cephalometric Two images
02751 DIAGNOSTIC Radiographs, Cephalometric Tracing/Interpretation 1U
02752 DIAGNOSTIC Radiographs, Cephalometric Tracing/Interpretation 2U
02759 DIAGNOSTIC Radiographs, Cephalometric Tracing/Interpretation EAU
02801 DIAGNOSTIC Radiograph,CT,PET,MRI,Intrp (from other source) 1U
02802 DIAGNOSTIC Radiograph,CT,PET,MRI,Intrp (from other source) 2U
02807 DIAGNOSTIC Radiograph,CT,PET,MRI,Intrp (from other source) 1/2U
02809 DIAGNOSTIC Radiograph,CT,PET,MRI,Intrp (from other source) EAU
02911 DIAGNOSTIC Radiographs, Duplications Single image
02912 DIAGNOSTIC Radiographs, Duplications Two images
02913 DIAGNOSTIC Radiographs, Duplications Three images
02914 DIAGNOSTIC Radiographs, Duplications Four images
02915 DIAGNOSTIC Radiographs, Duplications Five images
02916 DIAGNOSTIC Radiographs, Duplications Six images
02917 DIAGNOSTIC Radiographs, Duplications Seven images
02918 DIAGNOSTIC Radiographs, Duplications Eight images
02919 DIAGNOSTIC Radiographs, Duplications Each Additional image Over 8
02921 DIAGNOSTIC Radiographs, Duplications Complete Series of 12
02921 IMPLANT - DIAGNOSTIC Radiographs, Duplications Complete Series of 12
02922 DIAGNOSTIC Radiographs, Duplications Complete Series,13 or more
02922 IMPLANT - DIAGNOSTIC Radiographs, Duplications Complete Series,13 or more
02941 DIAGNOSTIC Radiographs, Hand & Wrist Per Case
02951 DIAGNOSTIC Radiographs, Radiog. Guide Maxillary Guide
02951 IMPLANT - DIAGNOSTIC Radiographs, Radiog. Guide Maxillary Guide
02952 DIAGNOSTIC Radiographs, Radiog. Guide Mandibular Guide
02952 IMPLANT - DIAGNOSTIC Radiographs, Radiog. Guide Mandibular Guide
03001 DIAGNOSTIC Radiographs, Surgical Temp. Maxillary Template
03001 IMPLANT - DIAGNOSTIC Radiographs, Surgical Temp. Maxillary Template
03002 DIAGNOSTIC Radiographs, Surgical Temp. Mandibular Template
03002 IMPLANT - DIAGNOSTIC Radiographs, Surgical Temp. Mandibular Template
04101 DIAGNOSTIC/Tests/Lab Microbiological Test For Pathological Agents
04201 DIAGNOSTIC/Tests/Lab Caries Susceptibility/Diagnosis Bacteriological Test
04311 DIAGNOSTIC/Tests/Lab Tests,Histological/Soft Tissue Biopsy, by Puncture
04312 DIAGNOSTIC/Tests/Lab Tests,Histological/Soft Tissue Biopsy, by Incision
04313 DIAGNOSTIC/Tests/Lab Tests,Histological/Soft Tissue Biopsy, by Aspiration
04321 DIAGNOSTIC/Tests/Lab Tests,Histological/Soft Tissue Biopsy, by Puncture
04322 DIAGNOSTIC/Tests/Lab Tests,Histological/Soft Tissue Biopsy, by Incision
04323 DIAGNOSTIC/Tests/Lab Tests,Histological/Soft Tissue Biopsy, by Aspiration
04401 DIAGNOSTIC/Tests/Lab Tests, Cytological Cyt Smear from Oral Cavity
04402 DIAGNOSTIC/Tests/Lab Tests, Cytological Vit Staining of Oral Mucosal
04403Comment DIAGNOSTIC/Tests/Lab Tests, Cytological Fluorescence, Dir Visualization
04501 DIAGNOSTIC/Tests/Lab Tests, Pulp Vitality One Unit
04509 DIAGNOSTIC/Tests/Lab Tests, Pulp Vitality Each Additional Unit
04601 DIAGNOSTIC/Tests/Lab Reports Laboratory Microbiological by OralMcrob.
04602 DIAGNOSTIC/Tests/Lab Reports Laboratory Histopathological by OralPath.
04603 DIAGNOSTIC/Tests/Lab Reports Laboratory Cytological by Oral Path.
04604 DIAGNOSTIC/Tests/Lab Reports Laboratory Reports, Other
04711 DIAGNOSTIC/Tests/Lab Miscellaneous/Equilibration/Casts for Restoration One Unit
04712 DIAGNOSTIC/Tests/Lab Miscellaneous/Equilibration/Casts for Restoration Two Units
04713 DIAGNOSTIC/Tests/Lab Miscellaneous/Equilibration/Casts for Restoration Three Units
04714 DIAGNOSTIC/Tests/Lab Miscellaneous/Equilibration/Casts for Restoration Four Units
04721 DIAGNOSTIC/Tests/Lab Wax-Up/Diagnostic One Unit
04722 DIAGNOSTIC/Tests/Lab Wax-Up/Diagnostic Two Units
04723 DIAGNOSTIC/Tests/Lab Wax-Up/Diagnostic Three Units
04724 DIAGNOSTIC/Tests/Lab Wax-Up/Diagnostic Four Units
04731 DIAGNOSTIC/Tests/Lab SplitCastMounting/Diagnostic One Unit
04732 DIAGNOSTIC/Tests/Lab SplitCastMounting/Diagnostic Two Units
04741 DIAGNOSTIC/Tests/Lab Interpretation of DiagnosisCasts One Unit
04801 DIAGNOSTIC/Tests/Lab Photographs, Diagnostic Single Photo
04802 DIAGNOSTIC/Tests/Lab Photographs, Diagnostic Two Photos
04803 DIAGNOSTIC/Tests/Lab Photographs, Diagnostic Three Photos
04809 DIAGNOSTIC/Tests/Lab Photographs, Diagnostic Each Add Photo Over Three
04911 DIAGNOSTIC/Tests/Lab Cast, Diagnostic Unmounted
04912 DIAGNOSTIC/Tests/Lab Cast, Diagnostic Unmounted, Duplicate
04913 DIAGNOSTIC/Tests/Lab Cast, Diagnostic Unmounted, Upper and Lower Comb.
04921 DIAGNOSTIC/Tests/Lab Casts, Diagnostic Mounted
04922 DIAGNOSTIC/Tests/Lab Casts, Diagnostic, Mounted Using Face Bow Transfer
04923 DIAGNOSTIC/Tests/Lab Casts, Diagnostic, Mounted Using Face Bow & Occlusal Rec
04924 DIAGNOSTIC/Tests/Lab Casts, Diagnostic, Mounted Using Fully Adj. Articulator
04931 DIAGNOSTIC/Tests/Lab Casts, Orthodontic Unmounted, Angle Trim &Soaped
04941 DIAGNOSTIC/Tests/Lab Casts, Miscellaneous Procedures Trans. Axis Loc & Transfer
04942 DIAGNOSTIC/Tests/Lab Casts, Miscellaneous Procedures 3 Dimension Record for Artic.
05101 DIAGNOSTIC/Tests/Lab Case Presentation TX Planning - One Unit
05102 DIAGNOSTIC/Tests/Lab Case Presentation TX Planning - Two Units
05201 DIAGNOSTIC/Tests/Lab Case Presentation/TX Plan Consultation W/Patient 1U
05201 DIAGNOSTIC/Tests/Lab Case Presentation/TX Plan Consultation W/Patient 1U
05202 DIAGNOSTIC/Tests/Lab Case Presentation/TX Plan Consultation W/Patient 2U
05202 DIAGNOSTIC/Tests/Lab Case Presentation/TX Plan Consultation W/Patient 2U
05209 DIAGNOSTIC/Tests/Lab Case Presentation/TX Plan Consultation W/Patient EAU
05209 DIAGNOSTIC/Tests/Lab Case Presentation/TX Plan Consultation W/Patient EAU
07011 DIAGNOSTIC Radiographs, CBCT, Acquisition Sm Field View(sext/part isol tmj)
07012 DIAGNOSTIC Radiographs, CBCT, Acquisition Large Field of View (1 arch)
07013 DIAGNOSTIC Radiographs, CBCT, Acquisition Large Field of View (2 arches)
07021 DIAGNOSTIC Radiographs, CBCT, Image Processing One Unit
07022 DIAGNOSTIC Radiographs, CBCT, Image Processing Two Units
07027 DIAGNOSTIC Radiographs, CBCT, Image Processing 1/2 Unit
07029 DIAGNOSTIC Radiographs, CBCT, Image Processing Each Addtl Unit Over Two
07031 DIAGNOSTIC Radiographs, CBCT, Interpretation One Unit
07032 DIAGNOSTIC Radiographs, CBCT, Interpretation Two Units
07037 DIAGNOSTIC Radiographs, CBCT, Interpretation 1/2 Unit
07039 DIAGNOSTIC Radiographs, CBCT, Interpretation Each Addtl Unit Over Two
07041 DIAGNOSTIC Radiographs, CBCT, Acquisition/Processing/Interpretation Sm Field View(sext/part isol tmj)
07042 DIAGNOSTIC Radiographs, CBCT, Acquisition/Processing/Interpretation Large Field of View (1 arch)
07043 DIAGNOSTIC Radiographs, CBCT, Acquisition/Processing/Interpretation Large Field of View (2 arches)
11101 PREVENTION SERVICES Polishing One Unit
11102 PREVENTION SERVICES Polishing Two Units
11107 PREVENTION SERVICES Polishing 1/2 Unit
11109 PREVENTION SERVICES Polishing Each Additional Unit Over 2
11111 PREVENTION SERVICES Scaling One Unit
11112 PREVENTION SERVICES Scaling Two Units
11113 PREVENTION SERVICES Scaling Three Units
11114 PREVENTION SERVICES Scaling Four Units
11115 PREVENTION SERVICES Scaling Five Units
11116 PREVENTION SERVICES Scaling Six Units
11117 PREVENTION SERVICES Scaling 1/2 Unit
11119 PREVENTION SERVICES Scaling Each Additional Unit Over 6
12101 PREVENTION SERVICES Fluoride Treatments(whole mouth) Foam, Gel or Rinse
12102 PREVENTION SERVICES Fluoride Treatments(whole mouth) Self-Administered Brush-In
12103 PREVENTION SERVICES Fluoride Treatments(whole mouth) Varnish
12601 PREVENTION SERVICES Custom Appliances Home Application Maxillary Arch
12602 PREVENTION SERVICES Custom Appliances Home Application Mandibular Arch
13101 PREVENTION SERVICES,Other Nutritional Counselling One Unit
13102 PREVENTION SERVICES,Other Nutritional Counselling Two Units
13211 PREVENTION SERVICES,Other OralHygieneInstruction/Plaque Control Individual Instruction 1U
13212 PREVENTION SERVICES,Other OralHygieneInstruction/Plaque Control Individual Instruction 2U
13213 PREVENTION SERVICES,Other OralHygieneInstruction/Plaque Control Individual Instruction 3U
13217 PREVENTION SERVICES,Other OralHygieneInstruction/Plaque Control Individual Instruction 1/2U
13219 PREVENTION SERVICES,Other OralHygieneInstruction/Plaque Control Individual Instruction EAU
13231 PREVENTION SERVICES,Other Reinstruction (in 6 months) (Not Audio Visual Time) 1U
13232 PREVENTION SERVICES,Other Reinstruction (in 6 months) (Not Audio Visual Time) 2U
13237 PREVENTION SERVICES,Other Reinstruction (in 6 months) (Not Audio Visual Time) 1/2U
13241 PREVENTION SERVICES,Other Oral Hygiene Instrustion Audio Visual 1U
13242 PREVENTION SERVICES,Other Oral Hygiene Instrustion Audio Visual 2U
13247 PREVENTION SERVICES,Other Oral Hygiene Instrustion Audio Visual 1/2U
13401 PREVENTION SERVICES,Other Sealants, Pit and Fissure First Tooth
13409 PREVENTION SERVICES,Other Sealants, Pit and Fissure Each Addtl Tooth - Same Quad
13411 PREVENTION SERVICES,Other Preventive Restorative Resin First Tooth
13419 PREVENTION SERVICES,Other Preventive Restorative Resin Each Addtl Tooth - Same Quad
13601 PREVENTION SERVICES,Other Topical Applicants/Hard Tissue One Unit
13602 PREVENTION SERVICES,Other Topical Applicants/Hard Tissue Two Units
13609 PREVENTION SERVICES,Other Topical Applicants/Hard Tissue Each Additional Unit
14101 PREVENTION/Ctl Oral Habit Appliances, Removable Maxillary
14102 PREVENTION/Ctl Oral Habit Appliances, Removable Mandibular
14103 PREVENTION/Ctl Oral Habit Appliances, Removable Maxillary + Mandibular
14201 PREVENTION/Ctl Oral Habit Appliances, Fixed/Cemented Maxillary
14202 PREVENTION/Ctl Oral Habit Appliances, Fixed/Cemented Mandibular
14301 PREVENTION/Ctl Oral Habit Motivate Patient Psychological Aproach/visit
14311 PREVENTION/Ctl Oral Habit Myofunctional Therapy One Unit per visit
14312 PREVENTION/Ctl Oral Habit Myofunctional Therapy Two Units
14319 PREVENTION/Ctl Oral Habit Myofunctional Therapy Each Addtl Unit Over Two
14401 PREVENTION/Ctl Oral Habit Appliances, Adjustments/Repairs/Maint One Unit
14402 PREVENTION/Ctl Oral Habit Appliances, Adjustments/Repairs/Maint Two Units
14502 PREVENTION SERVICES,Other Mouth Guards Processed
14611 PERIODONTICS, Adjunctive Appliances Maxillary
14612 PERIODONTICS, Adjunctive Appliances Mandibular
14621 PERIODONTICS, Adjunctive Appliances, Maintenance/Adjustment/Repair One Unit
14622 PERIODONTICS, Adjunctive Appliances, Maintenance/Adjustment/Repair Two Units
14623 PERIODONTICS, Adjunctive Appliances, Maintenance/Adjustment/Repair Three Units
14629 PERIODONTICS, Adjunctive Appliances, Maintenance/Adjustment/Repair Each Addtl Over Three
14631 PERIODONTICS, Adjunctive Appliances, Reline Direct
14632 PERIODONTICS, Adjunctive Appliances, Reline Processed
14721 PERIODONTICS, Adjunctive Appliances,Temporo, mandibular Joint, Intraoral Repair Maxillary
14722 PERIODONTICS, Adjunctive Appliances,Temporo, mandibular Joint, Intraoral Repair Mandibular
14731 PERIODONTICS, Adjunctive Appliances,Temporo, mandibular Joint, Intraoral Repair One Unit
14732 PERIODONTICS, Adjunctive Appliances,Temporo, mandibular Joint, Intraoral Repair Two Units
14733 PERIODONTICS, Adjunctive Appliances,Temporo, mandibular Joint, Intraoral Repair Three Units
14739 PERIODONTICS, Adjunctive Appliances,Temporo, mandibular Joint, Intraoral Repair Each Addt'l Unit Over Three
14741 PERIODONTICS, Adjunctive Appliances, Temporo, mandibular Joint, Relines Direct
14742 PERIODONTICS, Adjunctive Appliances, Temporo, mandibular Joint, Relines Indirect
14811 PERIODONTICS, Adjunctive Appliances, MyofacialPainSyn Maxillary
14812 PERIODONTICS, Adjunctive Appliances, MyofacialPainSyn Mandibular
14821 PERIODONTICS, Adjunctive Appliances, MyofacialPainSyn Maint/Adj/Repair 1U
14822 PERIODONTICS, Adjunctive Appliances, MyofacialPainSyn Maint/Adj/Repair 2U
14823 PERIODONTICS, Adjunctive Appliances, MyofacialPainSyn Maint/Adj/Repair 3U
14829 PERIODONTICS, Adjunctive Appliances, MyofacialPainSyn Maint/Adj/Repair EAU
14901 PREVENTION, Appliances Intraoral,sleep apnea, uars Ridge or tooth supported
14902 PREVENTION, Appliances Intraoral,sleep apnea, uars Tongue Retaining Device
14911 PREVENTION, Appliances Intraoral,sleep apnea, uars Periodic Maint/Adj/Repair 1 U
14912 PREVENTION, Appliances Intraoral,sleep apnea, uars Periodic Maint/Adj/Repair 2 U
14919 PREVENTION, Appliances Intraoral,sleep apnea, uars Periodic Mnt/Adj/Rep EAU over 2
14921 PREVENTION, Appliances Intraoral,sleep apnea, uars Monitoring Patient 1U
14922 PREVENTION, Appliances Intraoral,sleep apnea, uars Monitoring Patient 2U
14929 PREVENTION, Appliances Intraoral,sleep apnea, uars Monitoring Patient EAU over 2
15101 PREVENTION/Space Maint Band Type, Fixed Unilateral
15102 PREVENTION/Space Maint Band Type, Fixed Unilateral/Intra-alveolar Att
15103 PREVENTION/Space Maint Band Type, Fixed Bilateral (SLA)
15104 PREVENTION/Space Maint Band Type, Fixed Bilateral (SLA) w/Teeth Att
15105 PREVENTION/Space Maint Band Type, Fixed Bilateral,Tubes&Locking Wires
15201 PREVENTION/Space Maint Stainless Steel Crown Type Fixed
15301 PREVENTION/Space Maint Cast Type Fixed
15302 PREVENTION/Space Maint Cast Type Fixed w/IntraAlv. Attach
15401 PREVENTION/Space Maint Acrylic, Removable Bilateral clasps, Ret Wires
15403 PREVENTION/Space Maint Acrylic, Removable No Clasps
15501 PREVENTION/Space Maint Bonded Pontic Type
15601 PREVENTION/Space Maint Maintenance Adj/Recementation After 30 Dys
15602 PREVENTION/Space Maint Maintenance Add Clasps and/or Act Wires
15603 PREVENTION/Space Maint Maintenance Repairs(include recementation)
15604 PREVENTION/Space Maint Maintenance Rem of Fixed App by 2nd Dent
16101 PREVENTION SERVICES,Other Finishing Restorations One Unit
16102 PREVENTION SERVICES,Other Finishing Restorations Two Units
16103 PREVENTION SERVICES,Other Finishing Restorations Three Units
16104 PREVENTION SERVICES,Other Finishing Restorations Four Units
16109 PREVENTION SERVICES,Other Finishing Restorations Each Addtl Over Four
16201 PREVENTION SERVICES,Other Disking, Interproximal One Unit
16202 PREVENTION SERVICES,Other Disking, Interproximal Two Units
16203 PREVENTION SERVICES,Other Disking, Interproximal Three Units
16301 PREVENTION SERVICES,Other Recontouring - Aesthetic One Unit
16309 PREVENTION SERVICES,Other Recontouring - Aesthetic Each Additional Unit
16401 PREVENTION SERVICES,Other Recontouring - Functional One Unit
16409 PREVENTION SERVICES,Other Recontouring - Functional Each Additional Unit
16511 PERIODONTICS, Adjunctive Occlusal Adjustment/Equilibration One Unit
16512 PERIODONTICS, Adjunctive Occlusal Adjustment/Equilibration Two Units
16513 PERIODONTICS, Adjunctive Occlusal Adjustment/Equilibration Three Units
16514 PERIODONTICS, Adjunctive Occlusal Adjustment/Equilibration Four Units
16519 PERIODONTICS, Adjunctive Occlusal Adjustment/Equilibration Each Addtl Over Four
20111 RESTORATION Caries, Trauma, Pain Control First Tooth
20119 RESTORATION Caries, Trauma, Pain Control Each Addtl Tooth Same Quadrant
20121 RESTORATION Caries, Trauma, Pain Control Plus Band - First Tooth
20129 RESTORATION Caries, Trauma, Pain Control Plus Band - EA Tooth Same Quad
20131 RESTORATION Trauma Control, Smooth Fract Surf First Tooth
20139 RESTORATION Trauma Control, Smooth Fract Surf Each Addtl Tooth Same Quad
20141 RESTORATION Pulp Cap,Direct,Conj w Perm Rest First Tooth
21111 RESTORATIONS, AMALGAM Non Bonded, Primary Teeth One Surface
21112 RESTORATIONS, AMALGAM Non Bonded, Primary Teeth Two Surfaces
21113 RESTORATIONS, AMALGAM Non Bonded, Primary Teeth Three Surfaces
21114 RESTORATIONS, AMALGAM Non Bonded, Primary Teeth Four Surfaces
21115 RESTORATIONS, AMALGAM Non Bonded, Primary Teeth Five Surfaces or Max per Tooth
21121 RESTORATIONS, AMALGAM Bonded, Primary Teeth One Surface
21122 RESTORATIONS, AMALGAM Bonded, Primary Teeth Two Surfaces
21123 RESTORATIONS, AMALGAM Bonded, Primary Teeth Three Surfaces
21124 RESTORATIONS, AMALGAM Bonded, Primary Teeth Four Surfaces
21125 RESTORATIONS, AMALGAM Bonded, Primary Teeth Five Surfaces or Max per Tooth
21211 RESTORATIONS, AMALGAM Non Bonded Permanent Bicuspids/Anteriors One Surface
21212 RESTORATIONS, AMALGAM Non Bonded Permanent Bicuspids/Anteriors Two Surfaces
21213 RESTORATIONS, AMALGAM Non Bonded Permanent Bicuspids/Anteriors Three Surfaces
21214 RESTORATIONS, AMALGAM Non Bonded Permanent Bicuspids/Anteriors Four Surfaces
21215 RESTORATIONS, AMALGAM Non Bonded Permanent Bicuspids/Anteriors Five Surfaces or Max per Tooth
21221 RESTORATIONS, AMALGAM Non Bonded, Permanent Molars One Surface
21222 RESTORATIONS, AMALGAM Non Bonded, Permanent Molars Two Surfaces
21223 RESTORATIONS, AMALGAM Non Bonded, Permanent Molars Three Surfaces
21224 RESTORATIONS, AMALGAM Non Bonded, Permanent Molars Four Surfaces
21225 RESTORATIONS, AMALGAM Non Bonded, Permanent Molars Five Surfaces or Max per Tooth
21231 RESTORATIONS, AMALGAM Bonded, Perm Bicuspids/Anteriors One Surface
21232 RESTORATIONS, AMALGAM Bonded, Perm Bicuspids/Anteriors Two Surfaces
21233 RESTORATIONS, AMALGAM Bonded, Perm Bicuspids/Anteriors Three Surfaces
21234 RESTORATIONS, AMALGAM Bonded, Perm Bicuspids/Anteriors Four Surfaces
21235 RESTORATIONS, AMALGAM Bonded, Perm Bicuspids/Anteriors Five Surfaces or Max per Tooth
21241 RESTORATIONS, AMALGAM Bonded, Permanent Molars One Surface
21242 RESTORATIONS, AMALGAM Bonded, Permanent Molars Two Surfaces
21243 RESTORATIONS, AMALGAM Bonded, Permanent Molars Three Surfaces
21244 RESTORATIONS, AMALGAM Bonded, Permanent Molars Four Surfaces
21245 RESTORATIONS, AMALGAM Bonded, Permanent Molars Five Surfaces or Max per Tooth
21301 RESTORATIONS, AMALGAM Cores - Non-Bonded In Conjunction With Crown
21302 RESTORATIONS, AMALGAM Cores - Bonded In Conjunction With Crown
21401 RESTORATIONS, AMALGAM Pins, Retentive / Restoration One Pin
21402 RESTORATIONS, AMALGAM Pins, Retentive / Restoration Two Pins
21403 RESTORATIONS, AMALGAM Pins, Retentive / Restoration Three Pins
21404 RESTORATIONS, AMALGAM Pins, Retentive / Restoration Four Pins
21405 RESTORATIONS, AMALGAM Pins, Retentive / Restoration Five Pins or More
21501 RESTORATIONS To Tooth Supp.Exist.Part.Dent Clasp, Per Restoration
22201 RESTORATIONS, PREFAB Full Coverage, Metal, Primary Anterior
22211 RESTORATIONS, PREFAB Full Coverage, Metal, Primary Posterior
22212 RESTORATIONS, PREFAB Full Coverage, Metal, Primary Posterior - Open Face
22301 RESTORATIONS, PREFAB Full Coverage, Metal,Permanent Anterior
22311 RESTORATIONS, PREFAB Full Coverage, Metal,Permanent Posterior
22401 RESTORATIONS, PREFAB Full Coverage, Plastic, Primary Anterior
22411 RESTORATIONS, PREFAB Full Coverage, Plastic, Primary Posterior
22501 RESTORATIONS, PREFAB Full Coverage, Plastic, Permanent Anterior
22511 RESTORATIONS, PREFAB Full Coverage, Plastic, Permanent Posterior
22601 RESTORATIONS, PREFAB Full Coverage Porcelain/Ceramic/Polymer GlassPrimary Teeth Anterior
22611 RESTORATIONS, PREFAB Full Coverage Porcelain/Ceramic/Polymer GlassPrimary Teeth Posterior
23111 RESTORATIONS, T/COLOURED Plastic with or without SilverFilling/Permanent Anterior Bonded 1S
23112 RESTORATIONS, T/COLOURED Plastic with or without SilverFilling/Permanent Anterior Bonded 2SC
23113 RESTORATIONS, T/COLOURED Plastic with or without SilverFilling/Permanent Anterior Bonded 3SC
23114 RESTORATIONS, T/COLOURED Plastic with or without SilverFilling/Permanent Anterior Bonded 4SC
23115 RESTORATIONS, T/COLOURED Plastic with or without SilverFilling/Permanent Anterior Bonded (max) 5SC
23121 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Veneer Direct Chair.Prefab/Bonded
23122 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Veneer Non Prefab,Direct B/U Bond
23123 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Veneer Diastema, Interprox. Bond
23311 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Permanent Posterior Bonded, Bicusp 1S
23312 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Permanent Posterior Bonded, Bicusp 2S
23313 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Permanent Posterior Bonded, Bicusp 3S
23314 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Permanent Posterior Bonded, Bicusp 4S
23315 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Permanent Posterior Bonded Bicusp (max) 5S
23321 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Permanent Posterior Bonded Molars 1S
23322 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Permanent Posterior Bonded Molars 2S
23323 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Permanent Posterior Bonded Molars 3S
23324 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Permanent Posterior Bonded Molars 4S
23325 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Permanent Posterior Bonded Molars (max) 5S
23411 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Primary Anterior Bonded 1S
23412 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Primary Anterior Bonded 2SC
23413 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Primary Anterior Bonded 3SC
23414 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Primary Anterior Bonded 4SC
23415 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Primary Anterior Bonded (max) 5SC
23511 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Primary Posterior Bonded 1S
23512 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Primary Posterior Bonded 2S
23513 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Primary Posterior Bonded 3S
23514 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Primary Posterior Bonded 4S
23515 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Primary Posterior Bonded (max) 5S
23602 RESTORATIONS, T/COLOURED Plastic/with or withoutSilverFill/Cores Bonded-Conj. with Crown
24201 RESTORATIONS, GOLD FOIL Posteriors Class I
24203 RESTORATIONS, GOLD FOIL Posteriors Class V
25111 RESTORATIONS, INLAYS Metal One Surface
25112 RESTORATIONS, INLAYS Metal Two Surfaces
25113 RESTORATIONS, INLAYS Metal Three Surfaces
25114 RESTORATIONS, INLAYS Metal Three Surfaces, modified
25121 RESTORATIONS, INLAYS Composite/Compomer Indirect, Bonded 1S
25122 RESTORATIONS, INLAYS Composite/Compomer Indirect, Bonded 2S
25123 RESTORATIONS, INLAYS Composite/Compomer Indirect, Bonded 3S
25124 RESTORATIONS, INLAYS Composite/Compomer Indirect, Bonded, Modified 3S
25141 RESTORATIONS, INLAYS Porcelain/Ceramic/Poly.Glass Bonded 1S
25142 RESTORATIONS, INLAYS Porcelain/Ceramic/Poly.Glass Bonded 2S
25143 RESTORATIONS, INLAYS Porcelain/Ceramic/Poly.Glass Bonded 3S
25144 RESTORATIONS, INLAYS Porcelain/Ceramic/Poly.Glass Bonded,Modified 3S
25511 RESTORATIONS, ONLAYS Cast Metal, Indirect Per Tooth
25521 RESTORATIONS, ONLAYS Composite/Compomer, Indirect Bonded, Per Tooth
25531 RESTORATIONS, ONLAYS Porcelain, Ceramic,Poly.Glass Bonded, Per Tooth
25601 RESTORATIONS Pins, Retentive One Pin per Tooth
25602 RESTORATIONS Pins, Retentive Two Pins per Tooth
25603 RESTORATIONS Pins, Retentive Three Pins per Tooth
25604 RESTORATIONS Pins, Retentive Four Pins per Tooth
25605 RESTORATIONS Pins, Retentive Five Pins or More per Tooth
25711 RESTORATIONS, POSTS Cast Metal (including Core) Separate Procedure 1sect
25712 RESTORATIONS, POSTS Cast Metal (including Core) Separate Procedure 2sect
25713 RESTORATIONS, POSTS Cast Metal (including Core) Separate Procedure 3sect
25721 RESTORATIONS, POSTS Cast Metal (including Core) Concurrent w Impress 1sect
25722 RESTORATIONS, POSTS Cast Metal (including Core) Concurrent w Impress 2sect
25723 RESTORATIONS, POSTS Cast Metal (including Core) Concurrent w Impress 3sect
25731 RESTORATIONS, POSTS Prefabricated Retentive One Post
25732 RESTORATIONS, POSTS Prefabricated Retentive Two Posts same Tooth
25733 RESTORATIONS, POSTS Prefabricated Retentive Three Posts same Tooth
25751 RESTORATIONS, POSTS Prefab, Non Bonded Amal Core One Post + Pins
25752 RESTORATIONS, POSTS Prefab, Non Bonded Amal Core Two Posts(same tooth)+ Pins
25753 RESTORATIONS, POSTS Prefab, Non Bonded Amal Core ThreePosts(same tooth)+Pins
25754 RESTORATIONS, POSTS Prefab, NonBonded Compos Core One Post + Pins
25755 RESTORATIONS, POSTS Prefab, NonBonded Compos Core Two Posts(same tooth)+ Pins
25756 RESTORATIONS, POSTS Prefab, NonBonded Compos Core ThreePosts(same tooth)+Pins
25761 RESTORATIONS, POSTS Prefab, Bonded Amal Core One Post + Pins
25762 RESTORATIONS, POSTS Prefab, Bonded Amal Core Two Posts(same tooth)+ Pins
25763 RESTORATIONS, POSTS Prefab, Bonded Amal Core ThreePosts(same tooth)+Pins
25764 RESTORATIONS, POSTS Prefab,Bonded Compos/Cpnr Core One Post + Pins
25765 RESTORATIONS, POSTS Prefab,Bonded Compos/Cpnr Core Two Posts(same tooth)+ Pins
25766 RESTORATIONS, POSTS Prefab,Bonded Compos/Cpnr Core ThreePosts(same tooth)+Pins
25781 RESTORATIONS, POSTS Post Removal One Unit
25782 RESTORATIONS, POSTS Post Removal Two Units
25783 RESTORATIONS, POSTS Post Removal Three Units
25784 RESTORATIONS, POSTS Post Removal Four Units
25789 RESTORATIONS, POSTS Post Removal Each Addtl Unit Over Four
26101 IMPLANT - RESTORATIVE Mesostructures, Osseo-integr Indirect, Angulated,/implant
26102 IMPLANT - RESTORATIVE Restorative, Mesostructures Indirect, Custom Lab/implant
26103 IMPLANT - RESTORATIVE Restorative, Mesostructures Direct, /implant site
27111Comment RESTORATION,CROWNS/SINGLE Acrylic/Composite/Compomer Crown, Indirect
27113 RESTORATION,CROWNS/SINGLE Acrylic/Composite/Compomer Provisional, Indirect
27121 RESTORATION,CROWNS/SINGLE Acrylic/Composite/Compomer Direct, Prov., Chairside
27131Comment RESTORATION,CROWNS/SINGLE Acrylic/Composite/Compomer Cast Metal Base, Indirect
27135 IMPLANT - RESTORATIVE Crown,Acry/Compos/Compomer Cast Metal Base,Implant-supp
27135 RESTORATION,CROWNS/SINGLE Acrylic/Composite/Compomer Cast Metal Base, Implant-Sup
27201 RESTORATION,CROWNS/SINGLE Porcelain/Ceramic/Poly.Glass Crown
27205 IMPLANT - RESTORATIVE Crown,Porc/Ceramic/Poly.Glass Implant-Supported,Includes Abutmnt
27205 RESTORATION,CROWNS/SINGLE Porcelain/Ceramic/Poly.Glass Implant-Supported,Includes Abutmnt
27211Comment RESTORATION,CROWNS/SINGLE Porcln/Cerm/Poly.GFused to Met Crown
27212 RESTORATION,CROWNS/SINGLE Porcln/Cerm/Poly.GFused to Met Complicated
27213 RESTORATION,CROWNS/SINGLE Porcln/Cerm/Poly.GFused to Met With Porcelain Margin
27215 IMPLANT - RESTORATIVE Porcln/Cerm/Poly.GFused to Met Implant-Supported,Includes Abutmnt
27215 RESTORATION,CROWNS/SINGLE Porcln/Cerm/Poly.GFused to Met Implant-Supported,Includes Abutmnt
27221Comment RESTORATION,CROWNS/SINGLE Porcelain/Ceramic/Poly.Glass Crown, 3/4
27222 RESTORATION,CROWNS/SINGLE Porcelain/Ceramic/Poly.Glass Crown, 3/4, Complicated
27301Comment RESTORATION,CROWNS/SINGLE Cast Metal Uncomplicated
27302 RESTORATION,CROWNS/SINGLE Cast Metal Complicated
27305 IMPLANT - RESTORATIVE Crown, Cast Metal Implant-supported
27305 RESTORATION,CROWNS/SINGLE Cast Metal Implant-Supported
27311Comment RESTORATION,CROWNS/SINGLE 3/4 Cast Metal Crown
27312 RESTORATION,CROWNS/SINGLE 3/4 Cast Metal Complicated
27401 RESTORATION,CROWNS/SINGLE Made to ExistPartDentureClasp One Crown
27409 RESTORATION,CROWNS/SINGLE Made to ExistPartDentureClasp Each Additional Crown
27511 RESTORATION,CROWNS/SINGLE Copings, Metal/Acrylic Trnsfer Thimble, As SeparateProcedure
27602 RESTORATION,CROWNS/SINGLE Veneers, Laboratory Processed Porcln/Cerm/Poly.Glass,Bonded
27711Comment RESTORATION,CROWNS/SINGLE Repairs (inlays,onlays,crowns) Acr./Composite/Compom,Direct
27721 RESTORATION,CROWNS/SINGLE Repairs (inlays,onlays,crowns) Porcelain/Cerm/Poly.Gl-Direct
27722 RESTORATION,CROWNS/SINGLE Repairs (inlays,onlays,crowns) Porcelain/Cerm/Poly.Gl-Indir.
27801 RESTORATION,CROWNS/SINGLE Recontouring of Exist Crowns One Unit per Tooth
27809 RESTORATION,CROWNS/SINGLE Recontouring of Exist Crowns Each Addtl Unit per Tooth
28101 RESTORATION, OVERDENTURES Direct, Nat Tooth Prep Place Pulp Chamber Rest+Fluor
28102 RESTORATION, OVERDENTURES Direct, Nat Tooth Prep Fluoride App., Vital Tooth
28103 RESTORATION, OVERDENTURES Direct, Prefab Attach Internal/Ext. Retention,Dir.
28105 IMPLANT - RESTORATIVE Overdenture,Dir,Prefab Attach Implant-supported-RetDevice
28105 RESTORATION, OVERDENTURES Direct, Prefab Attach Impl-supp, Overdent Ret Dev
28211 RESTORATION, OVERDENTURES Indirect, CastMet.CopingCrown No Attachment, Indirect
28215 IMPLANT - RESTORATIVE Overdenture,Indir,Coping Crown No Attachment, Implant-supp
28215 RESTORATION, OVERDENTURES Indirect, CastMet.CopingCrown Implant-supported, Indirect
28221 RESTORATION, OVERDENTURES Indirect, CastMet.CopingCrown W/Attachment, Indirect
28225 IMPLANT - RESTORATIVE Overdenture,Indir,Coping Crown W/Attachment, Implant-supp
28225 RESTORATION, OVERDENTURES Indirect, CastMet.CopingCrown Implant-supported, Indirect
29101 RESTORATION, OTHER Recementation/Rebonding IN/ON/CR/VEN/Post/ToothFrag 1U
29102 RESTORATION, OTHER Recementation/Rebonding IN/ON/CR/VEN/Post/ToothFrag 2U
29103 RESTORATION, OTHER Recementation/Rebonding IN/ON/CR/VEN/Post/ToothFrag 3U
29104 RESTORATION, OTHER Recementation/Rebonding IN/ON/CR/VEN/Post/ToothF 4U
29111 IMPLANT - RESTORATIVE Implant-supported Crown Re-insert/Recement 1U
29112 IMPLANT - RESTORATIVE Implant-supported Crown Re-insert/Recement 2U
29113 IMPLANT - RESTORATIVE Implant-supported Crown Re-insert/Recement 3U
29114 IMPLANT - RESTORATIVE Implant-supported Crown Re-insert/Recement 4U
29301 RESTORATION, OTHER Removal Inlay/Onlay/Crown/Veneer 1U
29302 RESTORATION, OTHER Removal Inlay/Onlay/Crown/Veneer 2U
29303 RESTORATION, OTHER Removal Inlay/Onlay/Crown/Veneer 3U
29304 RESTORATION, OTHER Removal Inlay/Onlay/Crown/Veneer 4U
29311 IMPLANT - RESTORATIVE Implant-supported Crown Remove (single units only) 1U
29312 IMPLANT - RESTORATIVE Implant-supported Crown Remove (single units only) 2U
29313 IMPLANT - RESTORATIVE Implant-supported Crown Remove (single units only) 3U
29314 IMPLANT - RESTORATIVE Implant-supported Crown Remove (single units only) 4U
29321 IMPLANT - RESTORATIVE Mesostructure Remove (to be reseated) 1U
29322 IMPLANT - RESTORATIVE Mesostructure Remove (to be reseated) 2U
29323 IMPLANT - RESTORATIVE Mesostructure Remove (to be reseated) 3U
29324 IMPLANT - RESTORATIVE Mesostructure Remove (to be reseated) 4U
29331 IMPLANT - RESTORATIVE Compromised Mesostructure Remove (to be replaced) 1U
29332 IMPLANT - RESTORATIVE Compromised Mesostructure Remove (to be replaced) 2U
29333 IMPLANT - RESTORATIVE Compromised Mesostructure Remove (to be replaced) 3U
29334 IMPLANT - RESTORATIVE Compromised Mesostructure Remove (to be replaced) 4U
29341 IMPLANT - RESTORATIVE Healing Abutment Remove & Replace 1U
29342 IMPLANT - RESTORATIVE Healing Abutment Remove & Replace 2U
29343 IMPLANT - RESTORATIVE Healing Abutment Remove & Replace 3U
29344 IMPLANT - RESTORATIVE Healing Abutment Remove & Replace 4U
29401 RESTORATION, OTHER Staining, Porcelain Chairside 1U
29402 RESTORATION, OTHER Staining, Porcelain Chairside 2U
29403 RESTORATION, OTHER Staining, Porcelain Chairside 3U
29404 RESTORATION, OTHER Staining, Porcelain Chairside 4U
32221 ENDODONTICS, PULPOTOMY Permanent Teeth,SepEmergProc Anterior and Bicuspid
32222 ENDODONTICS, PULPOTOMY Permanent Teeth,SepEmergProc Molar
32231 ENDODONTICS, PULPOTOMY Primary Teeth Separate Procedure
32232 ENDODONTICS, PULPOTOMY Primary Teeth Concurrent with Restorations
32311 ENDODONTICS, PULPECTOMY Permanent, Retained Primary One Canal
32312 ENDODONTICS, PULPECTOMY Permanent, Retained Primary Two Canals
32313 ENDODONTICS, PULPECTOMY Permanent, Retained Primary Three Canals
32314 ENDODONTICS, PULPECTOMY Permanent, Retained Primary Four Canals or More
32315 ENDODONTICS, PULPECTOMY Permanent, Retained Primary Plus Difficult Access
32321 ENDODONTICS, PULPECTOMY Primary Teeth Anterior Tooth
32322 ENDODONTICS, PULPECTOMY Primary Teeth Posterior Tooth
33111 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 1C One Canal
33112 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 1C Difficult Access
33113 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 1C Exceptional Anatomy
33114 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 1C Calcified Canal
33115 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 1C Retreatment of Prev. Therapy
33116 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 1C Continuing Treatment
33121 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 2C Two Canals
33122 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 2C Difficult Access
33123 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 2C Exceptional Anatomy
33124 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 2C Calcified Canal
33125 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 2C Retreatment of Prev. Therapy
33126 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 2C Continuing Treatment
33131 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 3C Three Canals
33132 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 3C Difficult Access
33133 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 3C Exceptional Anatomy
33134 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 3C Calcified Canal
33135 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 3C Retreatment of Prev. Therapy
33136 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 3C Continuing Treatment
33141 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 4C Four Canals or More
33142 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 4C Difficult Access
33143 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 4C Exceptional Anatomy
33144 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 4C Calcified Canal
33145 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 4C Retreatment of Prev. Therapy
33146 ENDODONTICS, ROOT CANAL Permanent, Ret.Primary 4C Continuing Treatment
33401 ENDODONTICS, ROOT CANAL Primary Teeth 1 canal
33402 ENDODONTICS, ROOT CANAL Primary Teeth More than 1 canal
33601 ENDODONTICS, ROOT CANAL Permanent Retained Primary Apex/Apical Closure/Induct H.T. Rep 1can
33602 ENDODONTICS, ROOT CANAL Permanent Retained Primary Apex/Apical Closure/Induct H.T. Rep 2can
33603 ENDODONTICS, ROOT CANAL Permanent Retained Primary Apex/Apical Closure/Induct H.T. Rep 3can
33604 ENDODONTICS, ROOT CANAL Permanent Retained Primary Apex/Apical Closure/Induct H.T. Rep 4can+
33605 ENDODONTICS, ROOT CANAL Permanent Retained Primary Apex/Apical Closure/Induct - Diff Access
33611 ENDODONTICS, ROOT CANAL Permanent, Retained Primary Re-Insert Dent Media 1can
33612 ENDODONTICS, ROOT CANAL Permanent, Retained Primary Re-Insert Dent Media 2can
33613 ENDODONTICS, ROOT CANAL Permanent, Retained Primary Re-Insert Dent Media 3can
33614 ENDODONTICS, ROOT CANAL Permanent, Retained Primary Re-Insert Dent Media 4can+
34111 ENDODONTICS, PERIAPICAL Apicoectomy/Apical Curettage Maxillary Anterior 1R
34112 ENDODONTICS, PERIAPICAL Apicoectomy/Apical Curettage Maxillary Anterior 2R
34121 ENDODONTICS, PERIAPICAL Apicoectomy/Apical Curettage Maxillary Bicuspid 1R
34122 ENDODONTICS, PERIAPICAL Apicoectomy/Apical Curettage Maxillary Bicuspid 2R
34123 ENDODONTICS, PERIAPICAL Apicoectomy/Apical Curettage Maxillary Bicuspid 3R
34131 ENDODONTICS, PERIAPICAL Apicoectomy/Apical Curettage Maxillary Molar 1R
34132 ENDODONTICS, PERIAPICAL Apicoectomy/Apical Curettage Maxillary Molar 2R
34133 ENDODONTICS, PERIAPICAL Apicoectomy/Apical Curettage Maxillary Molar 3R
34134 ENDODONTICS, PERIAPICAL Apicoectomy/Apical Curettage Maxillary Molar 4R+
34141 ENDODONTICS, PERIAPICAL Apicoectomy/Apical Curettage Mandibular Anterior 1R
34142 ENDODONTICS, PERIAPICAL Apicoectomy/Apical Curettage Mandibular Anterior 2R+
34151 ENDODONTICS, PERIAPICAL Apicoectomy/Apical Curettage Mandibular Bicuspid 1R
34152 ENDODONTICS, PERIAPICAL Apicoectomy/Apical Curettage Mandibular Bicuspid 2R
34153 ENDODONTICS, PERIAPICAL Apicoectomy/Apical Curettage Mandibular Bicuspid 3R+
34161 ENDODONTICS, PERIAPICAL Apicoectomy/Apical Curettage Mandibular Molar 1R
34162 ENDODONTICS, PERIAPICAL Apicoectomy/Apical Curettage Mandibular Molar 2R
34163 ENDODONTICS, PERIAPICAL Apicoectomy/Apical Curettage Mandibular Molar 3R
34164 ENDODONTICS, PERIAPICAL Apicoectomy/Apical Curettage Mandibular Molar 4R+
34211 ENDODONTICS, PERIAPICAL Retrofilling Maxillary Anterior 1can
34212 ENDODONTICS, PERIAPICAL Retrofilling Maxillary Anterior 2can+
34221 ENDODONTICS, PERIAPICAL Retrofilling Maxillary Bicuspid 1can
34222 ENDODONTICS, PERIAPICAL Retrofilling Maxillary Bicuspid 2can
34223 ENDODONTICS, PERIAPICAL Retrofilling Maxillary Bicuspid 3can
34224 ENDODONTICS, PERIAPICAL Retrofilling Maxillary Bicuspid 4can+
34231 ENDODONTICS, PERIAPICAL Retrofilling Maxillary Molar 1can
34232 ENDODONTICS, PERIAPICAL Retrofilling Maxillary Molar 2can
34233 ENDODONTICS, PERIAPICAL Retrofilling Maxillary Molar 3can
34234 ENDODONTICS, PERIAPICAL Retrofilling Maxillary Molar 4can+
34241 ENDODONTICS, PERIAPICAL Retrofilling Mandibular Anterior 1can
34242 ENDODONTICS, PERIAPICAL Retrofilling Mandibular Anterior 2can+
34251 ENDODONTICS, PERIAPICAL Retrofilling Mandibular Bicuspid 1can
34252 ENDODONTICS, PERIAPICAL Retrofilling Mandibular Bicuspid 2can
34253 ENDODONTICS, PERIAPICAL Retrofilling Mandibular Bicuspid 3can
34254 ENDODONTICS, PERIAPICAL Retrofilling Mandibular Bicuspid 4can+
34261 ENDODONTICS, PERIAPICAL Retrofilling Mandibular Molar 1can
34262 ENDODONTICS, PERIAPICAL Retrofilling Mandibular Molar 2can
34263 ENDODONTICS, PERIAPICAL Retrofilling Mandibular Molar 3can
34264 ENDODONTICS, PERIAPICAL Retrofilling Mandibular Molar 4can+
34311 ENDODONTICS, PERIAPICAL Retreatment Maxillary Anterior 1root
34312 ENDODONTICS, PERIAPICAL Retreatment Maxillary Anterior 2roots
34321 ENDODONTICS, PERIAPICAL Retreatment Maxillary Bicuspid 1root
34322 ENDODONTICS, PERIAPICAL Retreatment Maxillary Bicuspid 2roots
34323 ENDODONTICS, PERIAPICAL Retreatment Maxillary Bicuspid 3roots
34324 ENDODONTICS, PERIAPICAL Retreatment Maxillary Bicuspid 4roots+
34331 ENDODONTICS, PERIAPICAL Retreatment Maxillary Molar 1root
34332 ENDODONTICS, PERIAPICAL Retreatment Maxillary Molar 2roots
34333 ENDODONTICS, PERIAPICAL Retreatment Maxillary Molar 3roots
34334 ENDODONTICS, PERIAPICAL Retreatment Maxillary Molar 4roots+
34341 ENDODONTICS, PERIAPICAL Retreatment Mandibular Anterior 1root
34342 ENDODONTICS, PERIAPICAL Retreatment Mandibular Anterior 2roots+
34351 ENDODONTICS, PERIAPICAL Retreatment Mandibular Bicuspid 1root
34352 ENDODONTICS, PERIAPICAL Retreatment Mandibular Bicuspid 2roots
34353 ENDODONTICS, PERIAPICAL Retreatment Mandibular Bicuspid 3roots
34354 ENDODONTICS, PERIAPICAL Retreatment Mandibular Bicuspid 4roots+
34361 ENDODONTICS, PERIAPICAL Retreatment Mandibular Molar 1root
34362 ENDODONTICS, PERIAPICAL Retreatment Mandibular Molar 2roots
34363 ENDODONTICS, PERIAPICAL Retreatment Mandibular Molar 3roots
34364 ENDODONTICS, PERIAPICAL Retreatment Mandibular Molar 4roots+
34411 ENDODONTICS, PERIAPICAL Surgical Services, Miscellaneous Amputations, Root 1R
34412 ENDODONTICS, PERIAPICAL Surgical Services, Miscellaneous Amputations, Root 2R
34421 ENDODONTICS, PERIAPICAL Surgical Services, Miscellaneous Hemisection, Max. Bicuspid
34422 ENDODONTICS, PERIAPICAL Surgical Services, Miscellaneous Hemisection, Maxillary Molar
34423 ENDODONTICS, PERIAPICAL Surgical Services, Miscellaneous Hemisection, Mand. Molar
39101 ENDODONTICS, MISC Isolation for Asepsis Banding and/or Contouring
39201 ENDODONTICS, MISC Open and Drain (Sep Proc) Anteriors and Bicuspids
39202 ENDODONTICS, MISC Open and Drain (Sep Proc) Molars
39212 ENDODONTICS, MISC Open and Drain (In Addition) Molars
39311 ENDODONTICS, MISC Bleaching, Non Vital One Unit
39312 ENDODONTICS, MISC Bleaching, Non Vital Two Units
39313 ENDODONTICS, MISC Bleaching, Non Vital Three Units
39319 ENDODONTICS, MISC Bleaching, Non Vital Each Addtl Over Three
39411 ENDODONTICS, MISC Exploratory, Prev. Treated Anterior
39412 ENDODONTICS, MISC Exploratory, Prev. Treated Bicuspid
39413 ENDODONTICS, MISC Exploratory, Prev. Treated Molar
41211 PERIODONTICS,Non-Surgical Oral Diseases, Mucosal One Unit
41212 PERIODONTICS,Non-Surgical Oral Diseases, Mucosal Two Units
41213 PERIODONTICS,Non-Surgical Oral Diseases, Mucosal Three Units
41214 PERIODONTICS,Non-Surgical Oral Diseases, Mucosal Four Units
41219 PERIODONTICS,Non-Surgical Oral Diseases, Mucosal Each Addtl Over Four
41221 PERIODONTICS,Non-Surgical Oral Diseases, Nerv/Muscular One Unit
41222 PERIODONTICS,Non-Surgical Oral Diseases, Nerv/Muscular Two Units
41223 PERIODONTICS,Non-Surgical Oral Diseases, Nerv/Muscular Three Units
41224 PERIODONTICS,Non-Surgical Oral Diseases, Nerv/Muscular Four Units
41229 PERIODONTICS,Non-Surgical Oral Diseases, Nerv/Muscular Each Addtl Over Four
41231 PERIODONTICS,Non-surgical Oral Diseases, Systemic One Unit
41232 PERIODONTICS,Non-surgical Oral Diseases, Systemic Two Units
41233 PERIODONTICS,Non-surgical Oral Diseases, Systemic Three Units
41234 PERIODONTICS,Non-surgical Oral Diseases, Systemic Four Units
41239 PERIODONTICS,Non-surgical Oral Diseases, Systemic Each Addtl Over Four
41301 PERIODONTICS,Non-Surgical Desensitization One Unit
41302 PERIODONTICS,Non-Surgical Desensitization Two Units
41309 PERIODONTICS,Non-Surgical Desensitization Each Addtl Over Two
42111 PERIODONTICS, Surgical Gingival Curettage Incl Root Planing per sxt
42121 IMPLANT - PERIO, Surgery Gingival Curettage Incl Debride Implant-sxt/site
42201 PERIODONTICS, Surgical Gingivoplasty Per sxt
42211 IMPLANT - PERIO, Surgery Gingivoplasty Around an Implant - sxt/site
42311 PERIODONTICS, Surgical Gingivectomy Uncomplicated - per sxt
42321 PERIODONTICS, Surgical Gingivectomy With Curettage - per sxt
42331 PERIODONTICS, Surgical Gingivectomy Fibre Incision - one tooth
42339 PERIODONTICS, Surgical Gingivectomy Fibre Incision - addtl tooth
42341 PERIODONTICS, Surgical Gingivectomy Soft Tissue Recont-per tooth
42411 PERIODONTICS, Surgical Flap Approach W Osteoplasty/Ostectomy / sxt
42421 PERIODONTICS, Surgical Flap Approach W Curettage of Osseous / sxt
42431 PERIODONTICS, Surgical Flap Approach W Curet/OsseD&Osteoplasty/sxt
42441 PERIODONTICS, Surgical Flap Approach Exploratory / site
42451 PERIODONTICS, Surgical Flap Approach Osteopl/Ostoect/Crn Lngth/site
42461 IMPLANT - PERIO, Surgery Flap Approach w/Curettage of Oss.DefectAboutImplant/site
42471 IMPLANT - PERIO, Surgery Flap Approach w/Curettage of Oss.DefectInclDetox/site
42481 IMPLANT - PERIO, Surgery Flap Approach w/Curettage of Oss.Defect&Osteoplsty/site
42511 PERIODONTICS, Surgical Grafts, Soft Tissue, Pedicle Per site
42512 PERIODONTICS, Surgical Grafts, Soft Tissue, Pedicle Periosteal Stim + 42511
42521 PERIODONTICS, Surgical Grafts, Soft Tissue, Pedicle Coronally Positioned /site
42522 PERIODONTICS, Surgical Grafts, Soft Tissue, Pedicle Periosteal Stim + 42521
42531 PERIODONTICS, Surgical Grafts, Free Soft Tissue Per Site
42536 IMPLANT - PERIO, Surgery Grafts, Free Soft Tissue Adjacent to Implant /site
42541 PERIODONTICS, Surgical Grafts, Soft Tissue,Pedicle with Free Graft /site
42551 PERIODONTICS, Surgical Autograft, Free Conective Tissue For Root Coverage / site
42552 PERIODONTICS, Surgical Allograft Per Site
42556 IMPLANT - PERIO, Surgery Autograft, Free Conective Tissue Adj to Imp,incl harv donor site/site
42557 IMPLANT - PERIO, Surgery Allograft Adjacent to Implant /site
42561 PERIODONTICS, Surgical Autograft, Free Conective Tissue RidgeAugm inclharvestdon.site/site
42562 PERIODONTICS, Surgical Allograft Per Site
42571 PERIODONTICS, Surgical Grafts,FreeConTissue-Pedicle w free graft for root cov /site
42611 PERIODONTICS, Surgical Grafts,Osseous Tiss,Autograft Per Site
42621 PERIODONTICS, Surgical Grafts,Osseous Tiss,Allograft Per Site
42631 IMPLANT - PERIO, Surgery Grafts,Flaps,Osseous Tissue Xenograft,inclFlapEntry&Close
42701 PERIODONTICS, Surgical Guided Tissue Regeneration Non-Resorbable Membrane /site
42702 PERIODONTICS, Surgical Guided Tissue Regeneration Resorbable Membrane /site
42703 PERIODONTICS, Surgical Guided Tissue Regeneration NR Membrane,RemvlRentry/site
42811 PERIODONTICS, Surgical Miscellaneous, Proximal Wedge With Flap Curettage / site
42819 PERIODONTICS, Surgical Miscellaneous, Proximal Wedge w/Flap Curettage & Ost / site
42821 PERIODONTICS, Surgical Misc, Post Surgical Perio TX One Unit
42822 PERIODONTICS, Surgical Misc, Post Surgical Perio TX Two Units
42823 PERIODONTICS, Surgical Misc, Post Surgical Perio TX Three Units
42829 PERIODONTICS, Surgical Misc, Post Surgical Perio TX Each Addt'l Unit
42831Comment PERIODONTICS, Surgical Misc,PerioAbsc/Pericoronitis One Unit
42832 PERIODONTICS, Surgical Misc,PerioAbsc/Pericoronitis Two Units
42833 PERIODONTICS, Surgical Misc,PerioAbsc/Pericoronitis Three Units
42834 PERIODONTICS, Surgical Misc,PerioAbsc/Pericoronitis Four Units
42839 PERIODONTICS, Surgical Misc,PerioAbsc/Pericoronitis Each Addt'l Unit
43111 PERIODONTICS, Adjunctive Splinting or Ligation 'A' Splint / joint
43211Comment PERIODONTICS, Adjunctive Splinting or Ligation Bonded Joint Restor. / joint
43221 PERIODONTICS, Adjunctive Splinting or Ligation Bonded,InterproxEnamelSpl /jnt
43231 PERIODONTICS, Adjunctive Splinting or Ligation Wire Ligation / joint
43241 PERIODONTICS, Adjunctive Splinting or Ligation Wire Lig/Rest Mat'l Cov / joint
43271 PERIODONTICS, Adjunctive Splinting or Ligation Cast/Sold/Cer/PolyGlass,SplBond
43281 PERIODONTICS, Adjunctive Splinting or Ligation Removal Fixed Splints 1U
43289 PERIODONTICS, Adjunctive Splinting or Ligation Removal Fixed Splints EAU
43421 PERIODONTICS, Adjunctive Root Planing One Unit
43422 PERIODONTICS, Adjunctive Root Planing Two Units
43423 PERIODONTICS, Adjunctive Root Planing Three Units
43424 PERIODONTICS, Adjunctive Root Planing Four Units
43425 PERIODONTICS, Adjunctive Root Planing Five Units
43426 PERIODONTICS, Adjunctive Root Planing Six Units
43427 PERIODONTICS, Adjunctive Root Planing 1/2 Unit
43429 PERIODONTICS, Adjunctive Root Planing Each Addtl Over Six
43511 PERIODONTICS, Agents Chemotherapeutic/Antimicrobial Topical Application 1U
43519 PERIODONTICS, Agents Chemotherapeutic/Antimicrobial Topical Application EAU
43521Comment PERIODONTICS, Therapy Chemotherapeutic/Antimicrobial Intra-sulcular Application 1U
43529 PERIODONTICS, Therapy Chemotherapeutic/Antimicrobial Intra-sulcular Application EAU
49101Comment PERIODONTICS, Micellanous Re-evaluation One Unit
49102Comment PERIODONTICS, Micellanous Re-evaluation Two Units
49109Comment PERIODONTICS, Micellanous Re-evaluation Each Addtl Over Two
49221 IMPLANT - PERIO, Misc Irrigation, Subgingival About Implants 1U
49229 IMPLANT - PERIO, Misc Irrigation, Subgingival About Implants EAU
51101 PROSTHODONTICS-REMOVABLE Complete Dentures, Standard Maxillary
51102 PROSTHODONTICS-REMOVABLE Complete Dentures, Standard Mandibular
51201 PROSTHODONTICS-REMOVABLE Complete Dentures, Complex Equilibrated - Maxillary
51202 PROSTHODONTICS-REMOVABLE Complete Dentures, Complex Equilibrated - Mandibular
51301 PROSTHODONTICS-REMOVABLE Complete Dentures,Surgical/Std (Immediate) Maxillary
51302 PROSTHODONTICS-REMOVABLE Complete Dentures,Surgical/Std (Immediate) Mandibular
51601 PROSTHODONTICS-REMOVABLE Complete Dentures, Provisional Maxillary
51602 PROSTHODONTICS-REMOVABLE Complete Dentures, Provisional Mandibular
51603 PROSTHODONTICS-REMOVABLE Complete Dentures, Provisional Maxillary & Mandibular
51711 PROSTHODONTICS-REMOVABLE Complete Overdentures,TissueB Sup by Nat Teeth,NoAttach,Max
51712 PROSTHODONTICS-REMOVABLE Complete Overdentures,TissueB Sup by Nat Teeth,NoAttach,Mand
51713 PROSTHODONTICS-REMOVABLE Complete Overdentures,TissueB Sup/NatT,NoAttach,Max & Mand
51721 IMPLANT - PROSTHO-REM Complete Overdentures,TissueBorne Sup by Implants,NoAttach,Max
51722 IMPLANT - PROSTHO-REM Complete Overdentures,TissueBorne Sup by Implants,NoAttach,Mand
51723 IMPLANT - PROSTHO-REM Complete Overdentures,TissueBorne Sup-Impl,NoAttach,Max & Mand
51731 IMPLANT - PROSTHO-REM Complete Overdentures,TissueBorne Sup-NatTth&Impl,NoAttach,Max
51732 IMPLANT - PROSTHO-REM Complete Overdentures,TissueBorne Sup-NatTth&Impl,NoAttach,Mand
51733 IMPLANT - PROSTHO-REM Complete Overdentures,TissueBorne Sup-NatTth&Impl,NoAt,Max&Mand
51811 PROSTHODONTICS-REMOVABLE Complete Overdentures,TissueB No Attachments,Maxillary
51812 PROSTHODONTICS-REMOVABLE Complete Overdentures,TissueB No Attachments,Mandibular
51813 PROSTHODONTICS-REMOVABLE Complete Overdentures,TissueB No Attachments,Max & Mand
51821 IMPLANT - PROSTHO-REM Complete Overdentures (Immediate) Tissue Borne Sup by Implants,NoAttach,Max
51822 IMPLANT - PROSTHO-REM Complete Overdentures (Immediate) Tissue Borne Sup by Implants,NoAttach,Mand
51823 IMPLANT - PROSTHO-REM Complete Overdentures (Immediate) Tissue Borne Sup-Impl,NoAttach,Max & Mand
51831 IMPLANT - PROSTHO-REM Complete Overdentures (Immediate) Tissue Borne Sup-NatTth&Impl,NoAttach,Max
51832 IMPLANT - PROSTHO-REM Complete Overdentures (Immediate) Tissue Borne Sup-NatTth&Impl,NoAttach,Mand
51833 IMPLANT - PROSTHO-REM Complete Overdentures (Immediate) Tissue Borne Sup-NatTth&Impl,NoAt,Max&Mand
51911 PROSTHODONTICS-REMOVABLE Complete Dentures, Attached Ind.Attachments,Maxillary
51912 PROSTHODONTICS-REMOVABLE Complete Dentures, Attached Ind.Attachments,Mandibular
51913 PROSTHODONTICS-REMOVABLE Complete Dentures, Attached Ind.Attachment,Max & Mand
51921 IMPLANT - PROSTHO-REM Complete Overdentures,TissueBorne W/Indep.Attach,Sec-Impl,Max
51922 IMPLANT - PROSTHO-REM Complete Overdentures,TissueBorne W/Indep.Attach,Sec-Impl,Mand
51923 IMPLANT - PROSTHO-REM Complete Overdentures,TissueBorne W/Ind.Att,Sec-Impl,Max&Mand
51931 IMPLANT - PROSTHO-REM Complete Overdentures,TissueBorne W/IndAtt,Sec-NatTth&Impl,Max
51932 IMPLANT - PROSTHO-REM Complete Overdentures,TissueBorne W/IndAtt,Sec-NatTth&Impl,Mand
51933 IMPLANT - PROSTHO-REM Complete Overdentures,TissueBorne W/IndAtt,Sec-NT&Impl,Max&Mand
51941 IMPLANT - PROSTHO-REM Complete Overdentures,TissueBorne W/RetBar,SupByNatTeeth,Max
51942 IMPLANT - PROSTHO-REM Complete Overdentures,TissueBorne W/RetBar,SupByNatTeeth,Mand
51943 IMPLANT - PROSTHO-REM Complete Overdentures,TissueBorne W/RetBarSupByNatTeeth,Max&Mn
51951 IMPLANT - PROSTHO-REM Complete Overdentures,TissueBorne W/RetBar,SupBy Implants,Max
51952 IMPLANT - PROSTHO-REM Complete Overdentures,TissueBorne W/RetBar,SupBy Implants,Mand
51953 IMPLANT - PROSTHO-REM Complete Overdentures,TissueBorne W/RetBar,SupBy Impl,Max&Mand
51961 IMPLANT - PROSTHO-REM Complete Overdentures,TissueBorne W/RetBar,SupByNatTth&Impl,Max
51962 IMPLANT - PROSTHO-REM Complete Overdentures,TissueBorne W/RetBar,SupByNatTth&Impl,Mand
51963 IMPLANT - PROSTHO-REM Complete Overdentures,TissueBorne W/RetBar,SupByNatTth&Imp,Mx&Mn
52101 PROSTHODONTICS-REMOVABLE Dentures,Partial,AcrylicBase Provs,w/without Clasps - Max
52102 PROSTHODONTICS-REMOVABLE Dentures,Partial,AcrylicBase Provs,w/without Clasps - Mand
52111 PROSTHODONTICS-REMOVABLE Dentures,Partial,AcrylicBase Immediate - Max
52112 PROSTHODONTICS-REMOVABLE Dentures,Partial,AcrylicBase Immediate - Mand
52113 PROSTHODONTICS-REMOVABLE Dentures,Partial,AcrylicBase Immediate - Max&Mand
52301 PROSTHODONTICS-REMOVABLE Dentures,Partial,Acrylic Wrought/Cast Clasps - Max
52302 PROSTHODONTICS-REMOVABLE Dentures,Partial,Acrylic Wrought/Cast Clasps - Mand
52311 PROSTHODONTICS-REMOVABLE Dentures,Partial,Acrylic Immed,Wrought/Cast Clasps-Max
52312 PROSTHODONTICS-REMOVABLE Dentures,Partial,Acrylic Immed,Wrought/Cast Clasps-Mnd
52313 PROSTHODONTICS-REMOVABLE Dentures,Partial,Acrylic Immed,Wr/CastClasps - Max&Mnd
52511 PROSTHODONTICS-REMOVABLE Dentures, Partial, Flexible Not metal or acrylic, Max
52512 PROSTHODONTICS-REMOVABLE Dentures, Partial, Flexible Not metal or acrylic, Mand
52513 PROSTHODONTICS-REMOVABLE Dentures, Partial, Flexible Not metal or acrylic, Max&Mand
52711 PROSTHODONTICS-REMOVABLE Partial,Overdentures,Acrylic w/Clasps,NoAttachments - Max
52712 PROSTHODONTICS-REMOVABLE Partial,Overdentures,Acrylic w/Clasps,NoAttachments - Mand
52713 PROSTHODONTICS-REMOVABLE Partial,Overdentures,Acrylic w/Clasps,NoAttach - Max&Mand
52721 IMPLANT - PROSTHO-REM Part OverdentureAcrylic with Cast/Wrought Clasp Sup by Implants,NoAttach,Max
52722 IMPLANT - PROSTHO-REM Part OverdentureAcrylic with Cast/Wrought Clasp Sup by Implants,NoAttach,Mand
52723 IMPLANT - PROSTHO-REM Part OverdentureAcrylic with Cast/Wrought Clasp Sup-Impl,NoAttach,Max & Mand
52731 IMPLANT - PROSTHO-REM Part OverdentureAcrylic with Cast/Wrought Clasp Sup-NatTth&Impl,NoAttach,Max
52732 IMPLANT - PROSTHO-REM Part OverdentureAcrylic with Cast/Wrought Clasp Sup-NatTth&Impl,NoAttach,Mand
52733 IMPLANT - PROSTHO-REM Part OverdentureAcrylic with Cast/Wrought Clasp Sup-NatTth&Impl,NoAt,Max&Mand
52811 PROSTHODONTICS-REMOVABLE Partial,Overd.,Immde., Acrylic w/Clasps,NoAttachments - Max
52812 PROSTHODONTICS-REMOVABLE Partial,Overd.,Immde., Acrylic w/Clasps,NoAttachments - Mand
52813 PROSTHODONTICS-REMOVABLE Partial,Overd.,Immde., Acrylic w/Clasps,NoAttach - Max&Mand
52822 IMPLANT - PROSTHO-REM Part Overduntures (Immediate)Acrylic with Cast/Wrought Clasp Sup by Implants,NoAttach,Mand
52823 IMPLANT - PROSTHO-REM Part Overduntures (Immediate)Acrylic with Cast/Wrought Clasp Sup-Impl,NoAttach,Max & Mand
52832 IMPLANT - PROSTHO-REM Part Overduntures (Immediate)Acrylic with Cast/Wrought Clasp Sup-NatTth&Impl,NoAttach,Mand
52833 IMPLANT - PROSTHO-REM Part Overduntures (Immediate)Acrylic with Cast/Wrought Clasp Sup-NatTth&Impl,NoAt,Max&Mand
52911 PROSTHODONTICS-REMOVABLE Partial,Overdentures,Acrylic w/Clasps,IndAttachments- Max
52912 PROSTHODONTICS-REMOVABLE Partial,Overdentures,Acrylic w/Clasps,IndAttachments- Mand
52913 PROSTHODONTICS-REMOVABLE Partial,Overdentures,Acrylic w/Clasps,IndAttach - Max&Mand
52921 IMPLANT - PROSTHO-REM Part Overduntures (Immediate)Acrylic with Cast/Wrought Clasp W/Indep.Attach,Sec-Impl,Max
52922 IMPLANT - PROSTHO-REM Part Overduntures (Immediate)Acrylic with Cast/Wrought Clasp W/Indep.Attach,Sec-Impl,Mand
52923 IMPLANT - PROSTHO-REM Part Overduntures (Immediate)Acrylic with Cast/Wrought Clasp W/Ind.Att,Sec-Impl,Max&Mand
52931 IMPLANT - PROSTHO-REM Part Overduntures (Immediate)Acrylic with Cast/Wrought Clasp W/IndAtt,Sec-NatTth&Impl,Max
52932 IMPLANT - PROSTHO-REM Part Overduntures (Immediate)Acrylic with Cast/Wrought Clasp W/IndAtt,Sec-NatTth&Impl,Mand
52933 IMPLANT - PROSTHO-REM Part Overduntures (Immediate)Acrylic with Cast/Wrought Clasp W/IndAtt,Sec-NT&Impl,Max&Mand
52941 PROSTHODONTICS-REMOVABLE Partial,Overdentures,Acrylic w/Clasps,Retentive Bar - Max
52942 PROSTHODONTICS-REMOVABLE Partial,Overdentures,Acrylic w/Clasps,Retentive Bar - Mand
52943 PROSTHODONTICS-REMOVABLE Partial,Overdentures,Acrylic w/Clasps,RetentBar - Max&Mand
52951 IMPLANT - PROSTHO-REM Part Overduntures (Immediate)Acrylic with Cast/Wrought Clasp W/RetBar,SupBy Implants,Max
52952 IMPLANT - PROSTHO-REM Part Overduntures (Immediate)Acrylic with Cast/Wrought Clasp W/RetBar,SupBy Implants,Mand
52953 IMPLANT - PROSTHO-REM Part Overduntures (Immediate)Acrylic with Cast/Wrought Clasp W/RetBar,SupBy Impl,Max&Mand
52961 IMPLANT - PROSTHO-REM Part Overduntures (Immediate)Acrylic with Cast/Wrought Clasp W/RetBar,SupByNatTth&Impl,Max
52962 IMPLANT - PROSTHO-REM Part Overduntures (Immediate)Acrylic with Cast/Wrought Clasp W/RetBar,SupByNatTth&Impl,Mand
52963 IMPLANT - PROSTHO-REM Part Overduntures (Immediate)Acrylic with Cast/Wrought Clasp W/RetBar,SupByNatTth&Imp,Mx&Mn
53101 PROSTHODONTICS-REMOVABLE Dentures, Partial, Cast/Acryli FE Cast Frame/Connector- Max
53102 PROSTHODONTICS-REMOVABLE Dentures, Partial, Cast/Acryli FE Cast Frame/Connector- Mand
53104 PROSTHODONTICS-REMOVABLE Dentures, Partial, Cast/Acryli Altered Cast Impression
53201 PROSTHODONTICS-REMOVABLE Dentures, Partial, Cast/Acryli Tooth Borne - Max
53202 PROSTHODONTICS-REMOVABLE Dentures, Partial, Cast/Acryli Tooth Borne - Mand
53205 PROSTHODONTICS-REMOVABLE Dentures, Partial, Cast/Acryli Unilat,one pccasting,clasps,pontics
53401 PROSTHODONTICS-REMOVABLE Dentures, Partial, Cast Precision Attachment - Max
53402 PROSTHODONTICS-REMOVABLE Dentures, Partial, Cast Precision Attachment - Mand
53711 PROSTHODONTICS-REMOVABLE Partial,Cast,Overdentures SupByNatTeeth,NoAttach - Max
53712 PROSTHODONTICS-REMOVABLE Partial,Cast,Overdentures SupByNatTeeth,NoAttach - Mand
53714 PROSTHODONTICS-REMOVABLE Partial,Cast,Overdentures Altered Cast Impression
53721 IMPLANT - PROSTHO-REM Partial Cast Overdentures Sup by Implants,NoAttach,Max
53722 IMPLANT - PROSTHO-REM Partial Cast Overdentures Sup by Implants,NoAttach,Mand
53723 IMPLANT - PROSTHO-REM Partial Cast Overdentures Sup-Impl,NoAttach,Max & Mand
53724 IMPLANT - PROSTHO-REM Partial Cast Overdentures AltCast Impression Technique
53731 IMPLANT - PROSTHO-REM Partial Cast Overdentures Sup-NatTth&Impl,NoAttach,Max
53732 IMPLANT - PROSTHO-REM Partial Cast Overdentures Sup-NatTth&Impl,NoAttach,Mand
53733 IMPLANT - PROSTHO-REM Partial Cast Overdentures Sup-NatTth&Impl,NoAt,Max&Mand
53734 IMPLANT - PROSTHO-REM Partial Cast Overdentures AltCast Impression Technique
53811 PROSTHODONTICS-REMOVABLE Partial,Cast,Overdentures,Imm. SupByNatTeeth,NoAttach - Max
53812 PROSTHODONTICS-REMOVABLE Partial,Cast,Overdentures,Imm. SupByNatTeeth,NoAttach - Mand
53813 PROSTHODONTICS-REMOVABLE Partial,Cast,Overdentures,Imm. SupByNatTeeth,NoAtt- Max&Mand
53814 PROSTHODONTICS-REMOVABLE Partial,Cast,Overdentures,Imm. Altered Cast Impression
53821 IMPLANT - PROSTHO-REM Partial Cast Overdent (Immed) Sup by Implants,NoAttach,Max
53822 IMPLANT - PROSTHO-REM Partial Cast Overdent (Immed) Sup by Implants,NoAttach,Mand
53823 IMPLANT - PROSTHO-REM Partial Cast Overdent (Immed) Sup-Impl,NoAttach,Max & Mand
53824 IMPLANT - PROSTHO-REM Partial Cast Overdent (Immed) AltCast Impression Technique
53831 IMPLANT - PROSTHO-REM Partial Cast Overdent (Immed) Sup-NatTth&Impl,NoAttach,Max
53832 IMPLANT - PROSTHO-REM Partial Cast Overdent (Immed) Sup-NatTth&Impl,NoAttach,Mand
53833 IMPLANT - PROSTHO-REM Partial Cast Overdent (Immed) Sup-NatTth&Impl,NoAt,Max&Mand
53834 IMPLANT - PROSTHO-REM Partial Cast Overdent (Immed) AltCast Impression Technique
53911 PROSTHODONTICS-REMOVABLE Partial,Cast,Overdentures Ind. Attach-NatTeeth - Max
53912 PROSTHODONTICS-REMOVABLE Partial,Cast,Overdentures Ind. Attach-NatTeeth - Mand
53913 PROSTHODONTICS-REMOVABLE Partial,Cast,Overdentures Ind. Attach-NatTeeth- Max&Mand
53921 IMPLANT - PROSTHO-REM Partial Cast Overdentures W/Indep.Attach,Sec-Impl,Max
53922 IMPLANT - PROSTHO-REM Partial Cast Overdentures W/Indep.Attach,Sec-Impl,Mand
53923 IMPLANT - PROSTHO-REM Partial Cast Overdentures W/Ind.Att,Sec-Impl,Max&Mand
53931 IMPLANT - PROSTHO-REM Partial Cast Overdentures W/IndAtt,Sec-NatTth&Impl,Max
53932 IMPLANT - PROSTHO-REM Partial Cast Overdentures W/IndAtt,Sec-NatTth&Impl,Mand
53933 IMPLANT - PROSTHO-REM Partial Cast Overdentures W/IndAtt,Sec-NT&Impl,Max&Mand
53941 PROSTHODONTICS-REMOVABLE Partial,Cast,Overdentures RetentiveBar-NatTeeth - Max
53942 PROSTHODONTICS-REMOVABLE Partial,Cast,Overdentures RetentiveBar-NatTeeth - Mand
53943 PROSTHODONTICS-REMOVABLE Partial,Cast,Overdentures Retent.Bar -NatTeeth- Max&Mand
53951 IMPLANT - PROSTHO-REM Partial Cast Overdentures W/RetBar,SupBy Implants,Max
53952 IMPLANT - PROSTHO-REM Partial Cast Overdentures W/RetBar,SupBy Implants,Mand
53953 IMPLANT - PROSTHO-REM Partial Cast Overdentures W/RetBar,SupBy Impl,Max&Mand
53961 IMPLANT - PROSTHO-REM Partial Cast Overdentures W/RetBar,SupByNatTth&Impl,Max
53962 IMPLANT - PROSTHO-REM Partial Cast Overdentures W/RetBar,SupByNatTth&Impl,Mand
53963 IMPLANT - PROSTHO-REM Partial Cast Overdentures W/RetBar,SupByNatTth&Imp,Mx&Mn
54201 PROSTHODONTICS-REMOVABLE Dentures, Adjustments Minor 1U
54202 PROSTHODONTICS-REMOVABLE Dentures, Adjustments Minor 2U
54209 PROSTHODONTICS-REMOVABLE Dentures, Adjustments Minor EAU
54301 PROSTHODONTICS-REMOVABLE Dentures, Adjustments Remount & Occlusal Equil -Max
54302 PROSTHODONTICS-REMOVABLE Dentures, Adjustments Remount & Occlusal Equil -Mand
54303 PROSTHODONTICS-REMOVABLE Dentures, Adjustments Remount & Occlusal Equil -Comb
55101 PROSTHODONTICS-REMOVABLE Dentures, Repairs/Add/Complete No Impression Req'd - Max
55102 PROSTHODONTICS-REMOVABLE Dentures, Repairs/Add/Complete No Impression Req'd - Mand
55201 PROSTHODONTICS-REMOVABLE Dentures, Repairs/Add/Complete Impression Req'd - Max
55202 PROSTHODONTICS-REMOVABLE Dentures, Repairs/Add/Complete Impression Req'd - Mand
55301 PROSTHODONTICS-REMOVABLE Partial Dentures, Repairs/Add No Impression Req'd - Max
55302 PROSTHODONTICS-REMOVABLE Partial Dentures, Repairs/Add No Impression Req'd - Mand
55401 PROSTHODONTICS-REMOVABLE Partial Dentures, Repairs/Add Impression Req'd - Max
55402 PROSTHODONTICS-REMOVABLE Partial Dentures, Repairs/Add Impression Req'd - Mand
55501Comment PROSTHODONTICS-REMOVABLE Dentures/Implant Ret.Prosth. Prophylaxis/Polishing 1U
55501 IMPLANT - PROSTHO-REM Dent/Implant Ret. Prosthesis Prophy & Polish 1U
55509Comment PROSTHODONTICS-REMOVABLE Dentures/Implant Ret.Prosth. Prophylaxis/Polishing EAU
55509 IMPLANT - PROSTHO-REM Dent/Implant Ret. Prosthesis Prophy & Polish EAU
56111 PROSTHODONTICS-REMOVABLE Dentures, Replication, Prov. Complete Denture - Max
56112 PROSTHODONTICS-REMOVABLE Dentures, Replication, Prov. Complete Denture - Mand
56211 PROSTHODONTICS-REMOVABLE Dentures, Reline, Direct Complete Denture - Max
56212 PROSTHODONTICS-REMOVABLE Dentures, Reline, Direct Complete Denture - Mand
56221 PROSTHODONTICS-REMOVABLE Dentures, Reline, Direct Partial Denture - Max
56222 PROSTHODONTICS-REMOVABLE Dentures, Reline, Direct Partial Denture - Mand
56231 PROSTHODONTICS-REMOVABLE Dentures, Reline, Processed Complete Denture - Max
56232 PROSTHODONTICS-REMOVABLE Dentures, Reline, Processed Complete Denture - Mand
56241 PROSTHODONTICS-REMOVABLE Dentures, Reline, Processed Partial Denture - Max
56242 PROSTHODONTICS-REMOVABLE Dentures, Reline, Processed Partial Denture - Mand
56311 PROSTHODONTICS-REMOVABLE Dentures, Rebase Complete Denture - Max
56312 PROSTHODONTICS-REMOVABLE Dentures, Rebase Complete Denture - Mand
56321 PROSTHODONTICS-REMOVABLE Dentures, Rebase Partial Denture - Max
56322 PROSTHODONTICS-REMOVABLE Dentures, Rebase Partial Denture - Mand
56411 PROSTHODONTICS-REMOVABLE Dentures, Remake, Exist Frame Partial - Max
56412 PROSTHODONTICS-REMOVABLE Dentures, Remake, Exist Frame Partial - Mand
56511 PROSTHODONTICS-REMOVABLE Dentures, Tissue Conditioning Complete Denture - Max
56512 PROSTHODONTICS-REMOVABLE Dentures, Tissue Conditioning Complete Denture - Mand
56521 PROSTHODONTICS-REMOVABLE Dentures, Tissue Conditioning Partial Denture - Max
56522 PROSTHODONTICS-REMOVABLE Dentures, Tissue Conditioning Partial Denture - Mand
56541 IMPLANT - PROSTHO-REM Ther. Tissue Conditioning Comp. Overdent,Imp-supp.,Max
56542 IMPLANT - PROSTHO-REM Ther. Tissue Conditioning Comp. Overdent,Imp-supp.,Mand
56543 IMPLANT - PROSTHO-REM Ther. Tissue Conditioning Comp. Overdent,I-supp.,Max&Mn
56561 IMPLANT - PROSTHO-REM Ther. Tissue Conditioning Part. Overdent,Imp-supp.,Max
56562 IMPLANT - PROSTHO-REM Ther. Tissue Conditioning Part. Overdent,Imp-supp.,Mand
56563 IMPLANT - PROSTHO-REM Ther. Tissue Conditioning Part. Overdent,I-supp.,Max&Mn
56611 PROSTHODONTICS-REMOVABLE Dentures, Misc Attachd Retentn Elements-1U
56612 PROSTHODONTICS-REMOVABLE Dentures, Misc Attachd Retentn Elements-2U
56619 PROSTHODONTICS-REMOVABLE Dentures, Misc Attachd Retentn Elements-EAU
57372 PROSTHODONTICS-REMOVABLE Prosthesis, Gingival
57401 PROSTHODONTICS-REMOVABLE Prosthesis, TMJ Exercisers,Trismus,Therapy
57402 PROSTHODONTICS-REMOVABLE Prosthesis, TMJ Splints, Perm Cast Occlusal
62101 PROSTHODONTICS-FIXED Pontics, Bridge, Cast Metal Cast Metal Pontic
62102 PROSTHODONTICS-FIXED Pontics, Bridge, Cast Metal W/Sep Porc/Cer/PolyGl Jacket
62103 PROSTHODONTICS-FIXED Pontics, Bridge, Cast Metal Prefab Att. Facing
62104 PROSTHODONTICS-FIXED Pontics, Bridge, Cast Metal Ret. Bar, Prefab Bar
62105 IMPLANT - PROSTHO-FIXED Pontics, Bridge Cast Metal
62105 PROSTHODONTICS-FIXED Pontics,Cast Metal Ret.Bar,Prefab,Attach-ImplRet
62501 PROSTHODONTICS-FIXED Pontcs,Bridge,Prcln/Cerm/PolyG Fused to Metal
62502 PROSTHODONTICS-FIXED Pontcs,Bridge,Prcln/Cerm/PolyG Aluminous
62701 PROSTHODONTICS-FIXED Pontics,Acr/Compos/Compomer Processed to Metal
62702 PROSTHODONTICS-FIXED Pontics,Acr/Compos/Compomer Indirect (Provisional)
62801Comment PROSTHODONTICS-FIXED Pontics, Natural Tooth NatCrown,Direct,Provisional
63001 PROSTHODONTICS-FIXED Recontouring of Retainers/Pont Per Tooth,Existing Bridge 1U
63009 PROSTHODONTICS-FIXED Recontouring of Retainers/Pont Per Tooth,Existing Bridge EAU
64111 PROSTHODONTICS-FIXED MasterCastTechniques Arbitrary TermHingeAxisReg 1U
64119 PROSTHODONTICS-FIXED MasterCastTechniques Arbitrary TermHingeAxisReg EAU
64221 PROSTHODONTICS-FIXED MasterCastMountingTechniques W/Arbitrary FacebowTransfer 1U
64301 PROSTHODONTICS-FIXED MasterCastMountingTechniques Gnathological Wax-up 1U
66111 PROSTHODONTICS-FIXED Repair, Replacement Replace Prefab Facings 1U
66112 PROSTHODONTICS-FIXED Repair, Replacement Replace Prefab Facings 2U
66113 PROSTHODONTICS-FIXED Repair, Replacement Replace Prefab Facings 3U
66119 PROSTHODONTICS-FIXED Repair, Replacement Replace Prefab Facings EAU
66211 PROSTHODONTICS-FIXED Repair,Remove,Recement Fixed Bridge/Prosthesis 1U
66212 PROSTHODONTICS-FIXED Repair,Remove,Recement Fixed Bridge/Prosthesis 2U
66213 PROSTHODONTICS-FIXED Repair,Remove,Recement Fixed Bridge/Prosthesis 3U
66214 PROSTHODONTICS-FIXED Repair,Remove,Recement Fixed Bridge/Prosthesis 4U
66219 PROSTHODONTICS-FIXED Repair,Remove,Recement Fixed Bridge/Prosthesis EAU
66221 PROSTHODONTICS-FIXED Repair,Remove,Replace Fixed Bridge/Prosthesis 1U
66222 PROSTHODONTICS-FIXED Repair,Remove,Replace Fixed Bridge/Prosthesis 2U
66223 PROSTHODONTICS-FIXED Repair,Remove,Replace Fixed Bridge/Prosthesis 3U
66224 PROSTHODONTICS-FIXED Repair,Remove,Replace Fixed Bridge/Prosthesis 4U
66229 PROSTHODONTICS-FIXED Repair,Remove,Replace Fixed Bridge/Prosthesis EAU
66231 IMPLANT - PROSTHO-FIXED Existing FixedBridge/Prosthesis Implant Supported Repair,Remove-reinsert 1U
66232 IMPLANT - PROSTHO-FIXED Existing FixedBridge/Prosthesis Implant Supported Repair,Remove-reinsert 2U
66233 IMPLANT - PROSTHO-FIXED Existing FixedBridge/Prosthesis Implant Supported Repair,Remove-reinsert 3U
66234 IMPLANT - PROSTHO-FIXED Existing FixedBridge/Prosthesis Implant Supported Repair,Remove-reinsert 4U
66239 IMPLANT - PROSTHO-FIXED Existing FixedBridge/Prosthesis Implant Supported Repair,Remove-reinsert EAU
66241 IMPLANT - PROSTHO-FIXED Existing FixedBridge/Prosthesis Implant Supported Repair,Remove-replace 1U
66242 IMPLANT - PROSTHO-FIXED Existing FixedBridge/Prosthesis Implant Supported Repair,Remove-replace 2U
66243 IMPLANT - PROSTHO-FIXED Existing FixedBridge/Prosthesis Implant Supported Repair,Remove-replace 3U
66244 IMPLANT - PROSTHO-FIXED Existing FixedBridge/Prosthesis Implant Supported Repair,Remove-replace 4U
66249 IMPLANT - PROSTHO-FIXED Existing FixedBridge/Prosthesis Implant Supported Repair,Remove-replace EAU
66251 PROSTHODONTICS-FIXED Repair,SectAbutment/Pontic &PolishExistingBridge 1U
66252 PROSTHODONTICS-FIXED Repair,SectAbutment/Pontic &PolishExistingBridge 2U
66253 PROSTHODONTICS-FIXED Repair,SectAbutment/Pontic &PolishExistingBridge 3U
66254 PROSTHODONTICS-FIXED Repair,SectAbutment/Pontic &PolishExistingBridge 4U
66259 PROSTHODONTICS-FIXED Repair,SectAbutment/Pontic &PolishExistingBridge EAU
66301 PROSTHODONTICS-FIXED Repair,Reinsert/Recement 1U
66302 PROSTHODONTICS-FIXED Repair,Reinsert/Recement 2U
66303 PROSTHODONTICS-FIXED Repair,Reinsert/Recement 3U
66304 PROSTHODONTICS-FIXED Repair,Reinsert/Recement 4U
66309 PROSTHODONTICS-FIXED Repair,Reinsert/Recement EAU
66311 PROSTHODONTICS-FIXED Repair,Reinsert/Recement Implant-Sup Bridge/Prosth 1U
66311 IMPLANT - PROSTHO-FIXED Existing FixedBridge/Prosthesis Implant Supported Repair,Reinsert/Recement 1U
66312 PROSTHODONTICS-FIXED Repair,Reinsert/Recement Implant-Sup Bridge/Prosth 2U
66312 IMPLANT - PROSTHO-FIXED Existing FixedBridge/Prosthesis Implant Supported Repair,Reinsert/Recement 2U
66313 PROSTHODONTICS-FIXED Repair,Reinsert/Recement Implant-Sup Bridge/Prosth 3U
66313 IMPLANT - PROSTHO-FIXED Existing FixedBridge/Prosthesis Implant Supported Repair,Reinsert/Recement 3U
66314 PROSTHODONTICS-FIXED Repair,Reinsert/Recement Implant-Sup Bridge/Prosth 4U
66314 IMPLANT - PROSTHO-FIXED Existing FixedBridge/Prosthesis Implant Supported Repair,Reinsert/Recement 4U
66319 PROSTHODONTICS-FIXED Repair,Reinsert/Recement Implant-Sup Bridge/Prosth EAU
66319 IMPLANT - PROSTHO-FIXED Existing FixedBridge/Prosthesis Implant Supported Repair,Reinsert/Recement EAU
66711 PROSTHODONTICS-FIXED Repair,FixedBridge/Prosthesis Por/Cer/PolyG/Ac/Comp-Dir 1T
66719 PROSTHODONTICS-FIXED Repair,FixedBridge/Prosthesis Por/Cer/PolyG/Ac/Comp-Dir EAT
66721 PROSTHODONTICS-FIXED Repair,FixedBridge/Prosthesis Solder Indexing 1U
66729 PROSTHODONTICS-FIXED Repair,FixedBridge/Prosthesis Solder Indexing EAU
66731 PROSTHODONTICS-FIXED Repair,FractPorc/MetalPontic W/TelescopingCrown 1st pontic
66739 PROSTHODONTICS-FIXED Repair,FractPorc/MetalPontic W/TelescopingCrown EA pontic
66743 IMPLANT - PROSTHO-FIXED Existing FixedBridge/Prosthesis Implant Supported Repair, Direct 3U
66744 IMPLANT - PROSTHO-FIXED Existing FixedBridge/Prosthesis Implant Supported Repair, Direct 4U
67111 PROSTHODONTICS-FIXED Fixed Bridge Retainer Acr/Compos/Compomer-Indir
67115 IMPLANT - PROSTHO-FIXED FixedBridgeRetainers Implant Supported Acr/Compos/Compom-Indirect
67121 PROSTHODONTICS-FIXED Fixed Bridge Retainer Acr/Compos/Compomer-Direct
67125 IMPLANT - PROSTHO-FIXED FixedBridgeRetainers Implant Supported Acr/Compos/Compom-Prov,Direct
67131 PROSTHODONTICS-FIXED Fixed Bridge Retainer Compos/Compomer/Resin-Indir
67135 IMPLANT - PROSTHO-FIXED FixedBridgeRetainers Implant Supported Comps/Compm,Resin/Acr,Indir
67145 IMPLANT - PROSTHO-FIXED FixedBridgeRet,Impl-Sup,Prv Acr/Comps/Compm,MtlBase,Dir
67155 IMPLANT - PROSTHO-FIXED FixedBridgeRet,Impl-Sup,Prv Acr/Comps/Compm,MtlBase,Indir
67161 PROSTHODONTICS-FIXED FB Retainer,Acry/Compos/Compom 2 Surface Inlay,Bonded-Indirect
67171 PROSTHODONTICS-FIXED FB Retainer,Acry/Compos/Compom 3 Surface Inlay,Bonded-Indirect
67181 PROSTHODONTICS-FIXED FB Retainer,Acry/Compos/Compom Onlay, Acr/Compos/Comp-Indir
67201 PROSTHODONTICS-FIXED Fixed Bridge Retainers Porcelain/Ceramic/Polymer Glass
67205 IMPLANT - PROSTHO-FIXED Retainer,Imp-Sup,Porc/Cerm/PG
67211 PROSTHODONTICS-FIXED Fixed Bridge Retainers Porcelain/Ceramic/Polymer Glass Fused to Metal Base
67212 PROSTHODONTICS-FIXED Fixed Bridge Retainers Porcelain/Ceramic/Polymer Glass Fused-Metal Base,Complicated
67215 IMPLANT - PROSTHO-FIXED Retainer,Imp-Sup,Porc/Cerm/PG Fused to Metal Base
67217 PROSTHODONTICS-FIXED Fixed Bridge Retainers Porcelain/Ceramic/Polymer Glass Semi-precision Rest
67218 PROSTHODONTICS-FIXED Fixed Bridge Retainers Porcelain/Ceramic/Polymer Glass Semi-prec/Prec Attachment
67231 PROSTHODONTICS-FIXED Fixed Bridge Retainers Porcelain/Ceramic/Polymer Glass 2 Surface Inlay, Bonded
67241 PROSTHODONTICS-FIXED Fixed Bridge Retainers Porcelain/Ceramic/Polymer Glass 3 Surface Inlay, Bonded
67251 PROSTHODONTICS-FIXED Fixed Bridge Retainers Porcelain/Ceramic/Polymer Glass Onlay, Bonded
67301 PROSTHODONTICS-FIXED Retainers, Cast Metal Cast Metal
67305 IMPLANT - PROSTHO-FIXED Retainer,Imp-Supported,Cast
67311 PROSTHODONTICS-FIXED Retainers, 3/4, Cast Metal 3/4 Cast Metal Retainer
67317 PROSTHODONTICS-FIXED Retainers, 3/4, Cast Metal Semi-prec/Prec Rest
67318 PROSTHODONTICS-FIXED Retainers, 3/4, Cast Metal Semi-prec/Prec Attachment
67321 PROSTHODONTICS-FIXED Retainers, Cast Metal Inlay Two Surfaces
67322 PROSTHODONTICS-FIXED Retainers, Cast Metal Inlay Three or more Surfaces
67331 PROSTHODONTICS-FIXED Retainers, Cast Metal Onlay Onlay (Internal Retention)
67341 PROSTHODONTICS-FIXED Retainers, Metal, Onlay (ext) with or without Perf,Bonded to Tooth
67415 IMPLANT - PROSTHO-FIXED Retainer,Imp-Supported,Metal Prefab/Custom Cast
67501 PROSTHODONTICS-FIXED Abutments/Retainers,Misc Serv Abutment Preparation
67502 PROSTHODONTICS-FIXED Abutments/Retainers,Misc Serv Telescoping Crown Unit
69201 PROSTHODONTICS-FIXED Other Services Splinting Per tooth
69301 PROSTHODONTICS-FIXED Other Services Retentive Pins- 1 Pin/Rest
69302 PROSTHODONTICS-FIXED Other Services Retentive Pins- 2 Pins/Rest
69303 PROSTHODONTICS-FIXED Other Services Retentive Pins- 3 Pins/Rest
69304 PROSTHODONTICS-FIXED Other Services Retentive Pins- 4 Pins/Rest
69305 PROSTHODONTICS-FIXED Other Services Retentive Pins- 5 Pins+/Rest
69401 PROSTHODONTICS-FIXED Other Services Staining, Porcelain 1U
69409 PROSTHODONTICS-FIXED Other Services Staining, Porcelain EAU
69701 PROSTHODONTICS-FIXED Provisional Coverage Abutment Tooth
69702 PROSTHODONTICS-FIXED Provisional Coverage Pontic
69811 IMPLANT - PROSTHO-FIXED Framework,Osseo-Intg,Imp-Sup AttW/Screws&IncDentTth&Ac,Max
69811 PROSTHODONTICS-FIXED Frameworks,Osseo-Integrated Attach w/Screws&IncTeeth- Max
69812 IMPLANT - PROSTHO-FIXED Framework,Osseo-Intg,Imp-Sup AttW/Screws&IncDentTth&Ac,Mnd
69812 PROSTHODONTICS-FIXED Frameworks,Osseo-Integrated Attach w/Screws&IncTeeth-Mand
71101 ORAL & MAXILLOFACIAL SURG Removal, Extraction, Erupted Uncomplicated-Single Tooth
71109 ORAL & MAXILLOFACIAL SURG Removal, Extraction, Erupted Uncomplicated-EA Tooth-SQ,
71201Comment ORAL & MAXILLOFACIAL SURG Removal, Extraction, Erupted Complicated-Single Tooth
71209 ORAL & MAXILLOFACIAL SURG Removal, Extraction, Erupted Complicated-EA Tooth-SQ
71211Comment ORAL & MAXILLOFACIAL SURG Removal, Extraction, Erupted Req Elev of Flap-Single Tooth
71219 ORAL & MAXILLOFACIAL SURG Removal, Extraction, Erupted Req Elev of Flap-EA Tooth-SQ
72111 ORAL & MAXILLOFACIAL SURG Removals, Impact, Soft Tiss Incision&Removal- 1 Tooth
72119 ORAL & MAXILLOFACIAL SURG Removals, Impact, Soft Tiss Incision&Removal- EA Tth SQ
72211 ORAL & MAXILLOFACIAL SURG Removals,Impact,Tissue/Bone Cov Incision,Elev,Rem/Sec-1 Tth
72219 ORAL & MAXILLOFACIAL SURG Removals,Impact,Tissue/Bone Cov Incis,Elev,Rem/Sec-EA Tth SQ
72221 ORAL & MAXILLOFACIAL SURG Removals,Impact,Tissue/Bone Cov Inc,Elev,Rem&Sect-1 tooth
72229 ORAL & MAXILLOFACIAL SURG Removals,Impact,Tissue/Bone Cov Inc,Elev,Rem&Sect-EA Tth SQ
72231 ORAL & MAXILLOFACIAL SURG Removals,Impact,Tissue/Bone Cov Inc,Elev,Rem&orSect-1 tooth
72239 ORAL & MAXILLOFACIAL SURG Removals,Impact,Tissue/Bone Cov Inc,Elev,Rem&orSect-EA Tth SQ
72311 ORAL & MAXILLOFACIAL SURG Removals,Residual Roots Erupted, First Tooth
72319 ORAL & MAXILLOFACIAL SURG Removals,Residual Roots Erupted, EA Tth - SQ
72321 ORAL & MAXILLOFACIAL SURG Removals,Residual Roots Soft Tissue - First Tooth
72329 ORAL & MAXILLOFACIAL SURG Removals,Residual Roots Soft Tissue - EA Tooth SQ
72331 ORAL & MAXILLOFACIAL SURG Removals,Residual Roots Bone Tissue - First Tooth
72339 ORAL & MAXILLOFACIAL SURG Removals,Residual Roots Bone Tissue -EA Tooth SQ
72411 ORAL & MAXILLOFACIAL SURG Alveolar Bone Preservation Autograft-First Tooth
72419 ORAL & MAXILLOFACIAL SURG Simple Ridge Preservation Autograft-EA Tooth
72421 IMPLANT - ORAL&MAX SURG Simple Ridge Preservation Allograph - First Tooth
72429 IMPLANT - ORAL&MAX SURG Simple Ridge Preservation Allograph - EA Tooth
72431 IMPLANT - ORAL&MAX SURG Simple Ridge Preservation Xenograph - First Tooth
72439 IMPLANT - ORAL&MAX SURG Simple Ridge Preservation Xenograph - EA Tooth
72511 ORAL & MAXILLOFACIAL SURG Surgical Exposure, Unerupted Uncomplicated-Single Tooth
72519 ORAL & MAXILLOFACIAL SURG Surgical Exposure, Unerupted Uncomplicated-EA Tooth-SQ
72521 ORAL & MAXILLOFACIAL SURG SurgicalExposure,HardTissue Complex - Single Tooth
72529 ORAL & MAXILLOFACIAL SURG SurgicalExposure,HardTissue Complex - EA Tooth-SQ
72531 ORAL & MAXILLOFACIAL SURG SurgicalExpos,UneruptedTooth W/OthodonticAttachment-1stTth
72539 ORAL & MAXILLOFACIAL SURG SurgicalExpos,UneruptedTooth W/OthodonticAttachment-EA T-SQ
72561 ORAL & MAXILLOFACIAL SURG Anchorage Dev Rigid Oss for Ortho Place device w/out elev of a flap
72562 ORAL & MAXILLOFACIAL SURG Anchorage Dev Rigid Oss for Ortho Place device with elev of a flap
72563 ORAL & MAXILLOFACIAL SURG Anchorage Dev Rigid Oss for Ortho Removal device w/out elev of flap
72564 ORAL & MAXILLOFACIAL SURG Anchorage Dev Rigid Oss for Ortho Removal device with elev of a flap
72711 ORAL & MAXILLOFACIAL SURG Surgical Enucleation,Unerupted - 1T
72719 ORAL & MAXILLOFACIAL SURG Surgical Enucleation,Unerupted -EA T-SQ
73111 ORAL & MAXILLOFACIAL SURG Remodelling & Recontouring Alveo with Extractions /sext
73121 ORAL & MAXILLOFACIAL SURG Remodelling & Recontouring Alveo no Extractions /sext
73152 ORAL & MAXILLOFACIAL SURG Excision of Bone Torus Palatinus
73153 ORAL & MAXILLOFACIAL SURG Excision of Bone Torus Mand, Unilateral
73154 ORAL & MAXILLOFACIAL SURG Excision of Bone Torus Mand, Bilateral
73161 ORAL & MAXILLOFACIAL SURG Removal of Bone Exostosis, Multiple / Quad
73171 ORAL & MAXILLOFACIAL SURG Reduction of Bone Tuberosity, Unilateral
73172 ORAL & MAXILLOFACIAL SURG Reduction of Bone Tuberosity, Bilateral
73183 ORAL & MAXILLOFACIAL SURG Augmentation of Bone Unilateral, Mandibular Ridge
73184 ORAL & MAXILLOFACIAL SURG Augmentation of Bone Bilateral, Mandibular Ridge
73211 ORAL & MAXILLOFACIAL SURG Gingivoplasty, Stomatoplasty Independent Procedure / sext
73221 ORAL & MAXILLOFACIAL SURG Gingivoplasty, Stomatoplasty in conjunction with tooth removal
73222 ORAL & MAXILLOFACIAL SURG Gingivoplasty, Stomatoplasty Excision of Vest Hyperpl /sext
73223 ORAL & MAXILLOFACIAL SURG Gingivoplasty, Stomatoplasty Shave Papillary Hyperplasia
73224 ORAL & MAXILLOFACIAL SURG Gingivoplasty, Stomatoplasty ExcisePericoronalGingiva /T/I
73231 ORAL & MAXILLOFACIAL SURG Gingivoplasty, Stomatoplasty Removal,Tissue,Hyperpl /sext
73411 ORAL & MAXILLOFACIAL SURG Vestibuloplasty Sub-mucous /sext
74111 ORAL & MAXILLOFACIAL SURG SurgExcision,Tumour,Benign Scar Tissue - 1 cm and under
74112 ORAL & MAXILLOFACIAL SURG SurgExcision,Tumour,Benign Scar Tissue - 1 - 2 cm
74121 ORAL & MAXILLOFACIAL SURG SurgExcision,Tumour,Benign Bone Tissue - 1 cm and under
74122 ORAL & MAXILLOFACIAL SURG SurgExcision,Tumour,Benign Bone Tissue - 1 - 2 cm
74611 ORAL & MAXILLOFACIAL SURG Surgical Excision,Cysts/Granul Enucleation - 1 cm and under
74612 ORAL & MAXILLOFACIAL SURG Surgical Excision,Cysts/Granul Enucleation - 1 - 2 cm
74631 ORAL & MAXILLOFACIAL SURG Surgical Excision,Cysts/Granul Exision of Cyst-1 cm and under
74632 ORAL & MAXILLOFACIAL SURG Surgical Excision,Cysts/Granul Exision of Cyst - 1 - 2 cm
74633 ORAL & MAXILLOFACIAL SURG Surgical Excision,Cysts/Granul Exision of Cyst - 2 - 3 cm
75111 ORAL & MAXILLOFACIAL SURG Surgical Incision/Drain,Intra Soft Tissue Exploration
75112 ORAL & MAXILLOFACIAL SURG Surgical Incision/Drain,Intra Soft Tissue Abscess
75121 ORAL & MAXILLOFACIAL SURG Surgical Incision/Drain,Intra Hard Tissue Trephination
75122 ORAL & MAXILLOFACIAL SURG Surgical Incision/Drain,Intra Surgical Exploration,HardTiss
76911 ORAL & MAXILLOFACIAL SURG Fractures, Reduce Alveolar Debride,Teeth Removd-3cm less
76921 ORAL & MAXILLOFACIAL SURG Fractures, Reduction Alveolar,Closed,w/Tth-3cm or less
76931 ORAL & MAXILLOFACIAL SURG Fractures, Reduction Alveolar,Open,w/Tth,-3cm&less
76941 ORAL & MAXILLOFACIAL SURG Fractures, Replantation Avulsed inclSplint-1st Tooth
76949 ORAL & MAXILLOFACIAL SURG Fractures, Replantation Avulsed inclSplint-EA Tooth
76951 ORAL & MAXILLOFACIAL SURG Fractures, Repositioning Displaced Teeth 1U
76952 ORAL & MAXILLOFACIAL SURG Fractures, Repositioning Displaced Teeth 2U
76959 ORAL & MAXILLOFACIAL SURG Fractures, Repositioning Displaced Teeth EAU
76961 ORAL & MAXILLOFACIAL SURG Fractures, Repair Laceration,Uncomp 2cm or less
76962 ORAL & MAXILLOFACIAL SURG Fractures, Repair Laceration,Uncomp 2-4cm
77801 ORAL & MAXILLOFACIAL SURG Frenectomy/Frenoplasty Upper Labial
77802 ORAL & MAXILLOFACIAL SURG Frenectomy/Frenoplasty Lower Labial
78102 ORAL & MAXILLOFACIAL SURG Temporomandibular Joint Dysfunctions Treatment Dislocation, Uncomplicated
78106 ORAL & MAXILLOFACIAL SURG Temporomandibular Joint Dysfunctions Treatment Manipulation under Anesthesia
79311 ORAL & MAXILLOFACIAL SURG Antral Immed Recovery Foreign Body
79312 ORAL & MAXILLOFACIAL SURG Antral Immed Closure by another dental surg
79321 ORAL & MAXILLOFACIAL SURG Antral Lavage, Oral Approach
79331 ORAL & MAXILLOFACIAL SURG Oro-Antral Fistula Closure W/ Buccal Flap,same session
79333 ORAL & MAXILLOFACIAL SURG Oro-Antral Fistula Closure W/ Palatal Flap,same session
79351 ORAL & MAXILLOFACIAL SURG Sinus Osseous Augmentation Open Lateral Appr-Autograft
79352 ORAL & MAXILLOFACIAL SURG Sinus Osseous Augmentation Open Lateral Appr-Allograft
79353 ORAL & MAXILLOFACIAL SURG Sinus Osseous Augmentation Open Lateral Appr-Xenograft
79354 ORAL & MAXILLOFACIAL SURG Sinus Osseous Augmentation Indir.InferiorApprch-Autograft
79355 ORAL & MAXILLOFACIAL SURG Sinus Osseous Augmentation Indir.InferiorApprch-Allograft
79356 ORAL & MAXILLOFACIAL SURG Sinus Osseous Augmentation Indir.InferiorApprch-Xenograft
79402 ORAL & MAXILLOFACIAL SURG Hemorrhage Control Secondary
79403 ORAL & MAXILLOFACIAL SURG Hemorrhage Control, Compression & Haemostatic Agent
79404 ORAL & MAXILLOFACIAL SURG Hemorrhage Cntrl,Haemostatic Sub &Sutures.(BnyTis remvl if necessary)
79601 IMPLANT - ORAL&MAX SURG Post Surgical Care, Minor By Treating Dentist
79601 ORAL & MAXILLOFACIAL SURG Post Surgical Care AfterInitial Posts Tx,Minor
79602 IMPLANT - ORAL&MAX SURG Post Surgical Care, Minor Not by Treating Dentist
79602 ORAL & MAXILLOFACIAL SURG Post Surgical Care Minor, not by Tx Dentist
79604 IMPLANT - ORAL&MAX SURG Post Surgical Care, Major Not by Treating Dentist
79604 ORAL & MAXILLOFACIAL SURG Post Surgical Care Major, not by Tx Dentist
79921 IMPLANT - ORAL&MAX SURG Implants,Subperiosteal Maxillary
79922 IMPLANT - ORAL&MAX SURG Implants,Subperiosteal Mandibular
79931 IMPLANT - ORAL&MAX SURG Implants,Osseo-Intg,RootForm With Cover Screw, per implant
79931 ORAL & MAXILLOFACIAL SURG Implants,Osseo-Intg,RootForm With Cover Screw, per implant
79932 IMPLANT - ORAL&MAX SURG Implants,Osseo-Intg,RootForm WHealTrnsmucosalElem / imp
79932 ORAL & MAXILLOFACIAL SURG Implants,Osseo-Intg,RootForm WHealTrnsmucosalElem / imp
79933 IMPLANT - ORAL&MAX SURG Implants,Osseo-Intg,RootForm WFinlTrnsmucosalElem / imp
79933 ORAL & MAXILLOFACIAL SURG Implants,Osseo-Intg,RootForm WFinlTrnsmucosalElem / imp
79934 IMPLANT - ORAL&MAX SURG Implants,Osseo-Intg,RootForm ReEntRemScrewPlTrnsElem /imp
79934 ORAL & MAXILLOFACIAL SURG Implants,Osseo-Intg,RootForm ReEntRemScrewPlTrnsElem /imp
79935 IMPLANT - ORAL&MAX SURG Implants,Osseo-Intg,RootForm ReEntRemScrPlFinalStndElem
79935 ORAL & MAXILLOFACIAL SURG Implants,Osseo-Intg,RootForm ReEntRemScrPlFinalStndElem
79936 IMPLANT - ORAL&MAX SURG Implants,Osseo-Intg,RootForm ReEntRemScrPlCustomStndElem
79936 ORAL & MAXILLOFACIAL SURG Implants,Osseo-Intg,RootForm ReEntRemScrPlCustomStndElem
79951 IMPLANT - ORAL&MAX SURG Implants/OsseointegProvisnl Installation per implant
79951 ORAL & MAXILLOFACIAL SURG Implants/OsseointegProvisnl Installation per implant
79952 IMPLANT - ORAL&MAX SURG Implants/OsseointegProvisnl Removal per implant
79952 ORAL & MAXILLOFACIAL SURG Implants/OsseointegProvisnl Removal per implant
79961 IMPLANT - ORAL&MAX SURG Implants, Removal of Uncomplicated/Implant
79961 ORAL & MAXILLOFACIAL SURG Implants, Removal of Uncomplicated, per implant
79962 IMPLANT - ORAL&MAX SURG Implants, Removal of Complicated/Implant
79962 ORAL & MAXILLOFACIAL SURG Implants, Removal of Complicated, per implant
80601 ORTHODONTICS, MISC Observations and Adjustments For Tooth Guidance
80602 ORTHODONTICS, MISC Observations and Adjustments To Ortho Appliances
80631 ORTHODONTICS, MISC Observations and Adjustments Repair Appliances 1U
80632 ORTHODONTICS, MISC Observations and Adjustments Repair Appliances 2U
80639 ORTHODONTICS, MISC Observations and Adjustments Repair Appliances EAU
80641 ORTHODONTICS, MISC Observations and Adjustments Alterations to Appliances 1U
80642 ORTHODONTICS, MISC Observations and Adjustments Alterations to Appliances 2U
80649 ORTHODONTICS, MISC Observations and Adjustments Alterations to Appliances EAU
80651Comment ORTHODONTICS, MISC Observations and Adjustments Recement,Fixed Appliances 1U
80659 ORTHODONTICS, MISC Observations and Adjustments Recement,Fixed Appliances EAU
80661 ORTHODONTICS, MISC Observations and Adjustments Separation 1U
80671 ORTHODONTICS, MISC Observations and Adjustments Rem of Fixed Appliance 1U
80679 ORTHODONTICS, MISC Observations and Adjustments Rem of Fixed Appliance EAU
81113 ORTHODONTICS, MISC Applicances, Removable Space Reg, Max Bilateral
81114 ORTHODONTICS, MISC Applicances, Removable Space Reg, Mand Bilateral
81121 ORTHODONTICS, MISC Applicances, Removable Cross-Bite Corr, Max Simple
81122 ORTHODONTICS, MISC Applicances, Removable Cross-Bite Corr, Mand Simple
81131 ORTHODONTICS, MISC Applicances, Removable Dent Arch Exp, Max Simple
81132 ORTHODONTICS, MISC Applicances, Removable Dent Arch Exp, Mand Simple
81141 ORTHODONTICS, MISC Applicances, Removable Close Diastemas, Max Simple
81142 ORTHODONTICS, MISC Applicances, Removable Close Diastemas, Mand Simple
81151 ORTHODONTICS, MISC Applicances, Removable Alignment, Anterior Max Simple
81152 ORTHODONTICS, MISC Applicances, Removable Alignment, Anterior Mand Simple
81211 ORTHODONTICS, MISC Appliances, Fixed or Cemented Space Regaining, Maxillary
81212 ORTHODONTICS, MISC Appliances, Fixed or Cemented Space Regaining, Mandibular
81221 ORTHODONTICS, MISC Appliances, Fixed or Cemented Space Reg, Unilateral, Max
81222 ORTHODONTICS, MISC Appliances, Fixed or Cemented Space Reg, Unilateral, Mand
81231 ORTHODONTICS, MISC Appliances, Fixed or Cemented Cross-Bite Corr Anterior,Max
81232 ORTHODONTICS, MISC Appliances, Fixed or Cemented Cross-Bite Corr Anterior,Mand
81241 ORTHODONTICS, MISC Appliances, Fixed or Cemented Cross-Bite Corr Post,Max
81242 ORTHODONTICS, MISC Appliances, Fixed or Cemented Cross-Bite Corr Post,Mand
81243 ORTHODONTICS, MISC Appliances, Fixed or Cemented C-B Corr Post,2 Molar Band
81251 ORTHODONTICS, MISC Appliances, Fixed or Cemented Dent Arch Expansion, Max
81252 ORTHODONTICS, MISC Appliances, Fixed or Cemented Dent Arch Expansion, Mand
81253 ORTHODONTICS, MISC Appliances, Fixed or Cemented Dent Arch Expans,Max,Rapid
81254 ORTHODONTICS, MISC Appliances, Fixed or Cemented Dent Arch Expans,Headgear
81261 ORTHODONTICS, MISC Appliances, Fixed or Cemented Close Diastemas, Max Simple
81262 ORTHODONTICS, MISC Appliances, Fixed or Cemented Close Diastemas, Mand Simple
81271 ORTHODONTICS, MISC Appliances, Fixed or Cemented Alignment/Incis, Max Simple
81272 ORTHODONTICS, MISC Appliances, Fixed or Cemented Alignment/Incis, Mand Simple
81291 ORTHODONTICS, MISC Appliances, Fixed or Cemented Mechanical, Max Impaction
81292 ORTHODONTICS, MISC Appliances, Fixed or Cemented Mechanical, Mand Impaction
83101 ORTHODONTICS, MISC Appliances,Removable,Retentn Maxillary
83102 ORTHODONTICS, MISC Appliances,Removable,Retentn Mandibular
83103 ORTHODONTICS, MISC Appliances,Removable,Retentn Tooth Positioner
83201 ORTHODONTICS, MISC Appliances,Removable,Retentn Maxillary
83202 ORTHODONTICS, MISC Appliances,Removable,Retentn Mandibular
84101 ORTHODONTICS, MISC Fixed App, Perm Dentition Class I Malocclusion
84201 ORTHODONTICS, MISC Fixed App, Perm Dentition Class II Malocclusion
84301 ORTHODONTICS, MISC Fixed App, Perm Dentition Class III Malocclusion
84401 ORTHODONTICS, MISC Fixed App, Perm Dentition Malocclusion-Partial Banding
85101 ORTHODONTICS, MISC Fixed App, Mixed Dentition Class I Malocclusion
85201 ORTHODONTICS, MISC Fixed App, Mixed Dentition Class II Malocclusion
85301 ORTHODONTICS, MISC Fixed App, Mixed Dentition Class III Malocclusion
87101 ORTHODONTICS, MISC Remov App, Perm Dentition Class I Malocclusion
87201 ORTHODONTICS, MISC Remov App, Perm Dentition Class II Malocclusion
87301 ORTHODONTICS, MISC Remov App, Perm Dentition Class III Malocclusion
88101 ORTHODONTICS, MISC Remov App, Mixed Dentition Class I Malocclusion
88201 ORTHODONTICS, MISC Remov App, Mixed Dentition Class II Malocclusion
88301 ORTHODONTICS, MISC Remov App, Mixed Dentition Class III Malocclusion
89101 ORTHODONTICS, MISC Remov App, Primary Dentition Class I Malocclusion
89201 ORTHODONTICS, MISC Remov App, Primary Dentition Class II Malocclusion
89301 ORTHODONTICS, MISC Remov App, Primary Dentition Class III Malocclusion
91121 ADJUNCTIVE GENERAL SERV Unclassified Treatment,Pain EmergencyServicesNotInGuide 1U
91122 ADJUNCTIVE GENERAL SERV Unclassified Treatment,Pain EmergencyServicesNotInGuide 2U
91123 ADJUNCTIVE GENERAL SERV Unclassified Treatment,Pain EmergencyServicesNotInGuide 3U
91129 ADJUNCTIVE GENERAL SERV Unclassified Treatment,Pain EmergencyServicesNotInGuideEAU
91211 ADJUNCTIVE GENERAL SERV Unclassified Treatments Unusual Time/Responsibility 1U
91212 ADJUNCTIVE GENERAL SERV Unclassified Treatments Unusual Time/Responsibility 2U
91213 ADJUNCTIVE GENERAL SERV Unclassified Treatments Unusual Time/Responsibility 3U
91219 ADJUNCTIVE GENERAL SERV Unclassified Treatments Unusual Time/Respons EAU
91231 ADJUNCTIVE GENERAL SERV Unclassified Treatments Manage Exceptional Patient 1U
91232 ADJUNCTIVE GENERAL SERV Unclassified Treatments Manage Exceptional Patient 2U
91233 ADJUNCTIVE GENERAL SERV Unclassified Treatments Manage Exceptional Patient 3U
91234 ADJUNCTIVE GENERAL SERV Unclassified Treatments Manage Exceptional Patient 4U
91239 ADJUNCTIVE GENERAL SERV Unclassified Treatments Manage Exceptional Patient EAU
92101Comment ADJUNCTIVE GENERAL SERV Anesthesia, Local Regional Block
92102Comment ADJUNCTIVE GENERAL SERV Anesthesia, Local Trigeminal Division Block
92301 ADJUNCTIVE GENERAL SERV Anesthesia Deep Sedation 1U
92302 ADJUNCTIVE GENERAL SERV Anesthesia Deep Sedation 2U
92303 ADJUNCTIVE GENERAL SERV Anesthesia Deep Sedation 3U
92304 ADJUNCTIVE GENERAL SERV Anesthesia Deep Sedation 4U
92305 ADJUNCTIVE GENERAL SERV Anesthesia Deep Sedation 5U
92306 ADJUNCTIVE GENERAL SERV Anesthesia Deep Sedation 6U
92307 ADJUNCTIVE GENERAL SERV Anesthesia Deep Sedation 7U
92308 ADJUNCTIVE GENERAL SERV Anesthesia Deep Sedation 8U
92309 ADJUNCTIVE GENERAL SERV Anesthesia Deep Sedation EAU
92411 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Nitrous Oxide 1U
92412 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Nitrous Oxide 2U
92413 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Nitrous Oxide 3U
92414 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Nitrous Oxide 4U
92415 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Nitrous Oxide 5U
92416 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Nitrous Oxide 6U
92417 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Nitrous Oxide 7U
92418 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Nitrous Oxide 8U
92419 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Nitrous Oxide EAU
92421 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Oral Sedation 1U
92422 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Oral Sedation 2U
92423 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Oral Sedation 3U
92424 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Oral Sedation 4U
92425 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Oral Sedation 5U
92426 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Oral Sedation 6U
92427 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Oral Sedation 7U
92428 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Oral Sedation 8U
92429 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Oral Sedation EAU
92431 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation NO & Oral Sedation 1U
92432 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation NO & Oral Sedation 2U
92433 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation NO & Oral Sedation 3U
92434 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation NO & Oral Sedation 4U
92435 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation NO & Oral Sedation 5U
92436 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation NO & Oral Sedation 6U
92441 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Parenteral Cons. Sedation 1U
92442 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Parenteral Cons. Sedation 2U
92443 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Parenteral Cons. Sedation 3U
92444 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Parenteral Cons. Sedation 4U
92445 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Parenteral Cons. Sedation 5U
92446 ADJUNCTIVE GENERAL SERV Anesthesia,ConsciousSedation Parenteral Cons. Sedation 6U
92511 ADJUNCTIVE GENERAL SERV Non Pharmacol. Pain Control Hynopsis 1U
92512 ADJUNCTIVE GENERAL SERV Non Pharmacol. Pain Control Hynopsis 2U
92513 ADJUNCTIVE GENERAL SERV Non Pharmacol. Pain Control Hynopsis 3U
92514 ADJUNCTIVE GENERAL SERV Non Pharmacol. Pain Control Hynopsis 4U
92519 ADJUNCTIVE GENERAL SERV Non Pharmacol. Pain Control Hynopsis EAU
92521 ADJUNCTIVE GENERAL SERV Non Pharmacol. Pain Control Acupuncture 1U
92522 ADJUNCTIVE GENERAL SERV Non Pharmacol. Pain Control Acupuncture 2U
92523 ADJUNCTIVE GENERAL SERV Non Pharmacol. Pain Control Acupuncture 3U
92524 ADJUNCTIVE GENERAL SERV Non Pharmacol. Pain Control Acupuncture 4U
92529 ADJUNCTIVE GENERAL SERV Non Pharmacol. Pain Control Acupuncture EAU
92531 ADJUNCTIVE GENERAL SERV Non Pharmacol. Pain Control Electronic Anesthesia 1U
92532 ADJUNCTIVE GENERAL SERV Non Pharmacol. Pain Control Electronic Anesthesia 2U
92533 ADJUNCTIVE GENERAL SERV Non Pharmacol. Pain Control Electronic Anesthesia 3U
92534 ADJUNCTIVE GENERAL SERV Non Pharmacol. Pain Control Electronic Anesthesia 4U
92539 ADJUNCTIVE GENERAL SERV Non Pharmacol. Pain Control Electronic Anesthesia EAU
93111 ADJUNCTIVE GENERAL SERV Professional Communications Consult Member of Prof. 1U
93112 ADJUNCTIVE GENERAL SERV Professional Communications Consult Member of Prof. 2U
93119 ADJUNCTIVE GENERAL SERV Professional Communications Consult Member of Prof. EAU
93121 ADJUNCTIVE GENERAL SERV Professional Communications Dental Legal Report - Short
93122 ADJUNCTIVE GENERAL SERV Professional Communications Dental Legal Rpt-Comprehens
93123 ADJUNCTIVE GENERAL SERV Professional Communications Dental Legal Opinion-Compreh
93131 ADJUNCTIVE GENERAL SERV Professional Communications Consult/Participate-Autopsy 1U
93132 ADJUNCTIVE GENERAL SERV Professional Communications Consult/Participate-Autopsy 2U
93211 ADJUNCTIVE GENERAL SERV Professional Communications Copy/Transfer Patient's File
93301 ADJUNCTIVE GENERAL SERV Claim and Treatment Forms CDA 'Blank' Standard Forms
93302 ADJUNCTIVE GENERAL SERV Claim and Treatment Forms Written TX Plan/Outline
93303 ADJUNCTIVE GENERAL SERV Claim and Treatment Forms Prepaid Claim Forms
93311 ADJUNCTIVE GENERAL SERV Claim and Treatment Forms Extraordinary Time/Forms 1U
93312 ADJUNCTIVE GENERAL SERV Claim and Treatment Forms Extraordinary Time/Forms 2U
93318 ADJUNCTIVE GENERAL SERV Claim and Treatment Forms Extraordinary Time/Forms 0U
93319 ADJUNCTIVE GENERAL SERV Claim and Treatment Forms Extraordinary Time/Phone EAU
93321 ADJUNCTIVE GENERAL SERV Claim and Treatment Forms Extraordinary Time/Office 1U
93331 ADJUNCTIVE GENERAL SERV Claim and Treatment Forms Payment for Orth Tx
94101 ADJUNCTIVE GENERAL SERV Professional Visits House Call, Non Emergency
94102 ADJUNCTIVE GENERAL SERV Professional Visits House Call, Emergency
94302 ADJUNCTIVE GENERAL SERV Professional Visits Office/Inst - After Reg Hrs
94303 ADJUNCTIVE GENERAL SERV Missed/Cancld Appt,no notice During Regular Office Hours
94304 ADJUNCTIVE GENERAL SERV Missed/Cancld Appt,no notice SpcApptAfterRegularOfficeHrs
94305 ADJUNCTIVE GENERAL SERV Office/Inst. Visits Travelling Expenses
94306 ADJUNCTIVE GENERAL SERV Professional Visits Out of Office + Services
94411 ADJUNCTIVE GENERAL SERV Court Appearances/Preparation Prep As Expert Witness 1U
94412 ADJUNCTIVE GENERAL SERV Court Appearances/Preparation Prep As Expert Witness 2U
94413 ADJUNCTIVE GENERAL SERV Court Appearances/Preparation Prep As Expert Witness 3U
94414 ADJUNCTIVE GENERAL SERV Court Appearances/Preparation Prep As Expert Witness 4U
94419 ADJUNCTIVE GENERAL SERV Court Appearances/Preparation Prep As Expert Witness EAU
94421 ADJUNCTIVE GENERAL SERV Court Appearances/Preparation Appear/Expt Witness-1/2 day
94422 ADJUNCTIVE GENERAL SERV Court Appearances/Preparation Appear/Expt Witness-Full day
95101 ADJUNCTIVE GENERAL SERV Forensic Services, Misc Identification, Opinion
95104 ADJUNCTIVE GENERAL SERV Forensic Services, Misc Written Odontology Report
96101 ADJUNCTIVE GENERAL SERV Drugs/Medication, Dispensing Prescription, Emergency
96103 ADJUNCTIVE GENERAL SERV Drugs/Medication, Dispensing Prescription, Non Emergency
96201 ADJUNCTIVE GENERAL SERV Drugs/Medication, Dispensing Intramuscular Injection
96202 ADJUNCTIVE GENERAL SERV Drugs/Medication, Dispensing Intravenous Injection
96203 ADJUNCTIVE GENERAL SERV Drugs/Medication, Dispensing Intralesional Delivery
97111 ADJUNCTIVE GENERAL SERV Drugs/Medication, Dispensing Bleaching, Vital, In Office 1U
97112 ADJUNCTIVE GENERAL SERV Drugs/Medication, Dispensing Bleaching, Vital, In Office 2U
97113 ADJUNCTIVE GENERAL SERV Drugs/Medication, Dispensing Bleaching, Vital, In Office 3U
97119 ADJUNCTIVE GENERAL SERV Drugs/Medication, Dispensing Bleaching, Vital, Office EAU
97121 ADJUNCTIVE GENERAL SERV Drugs/Medication, Dispensing Bleaching,Vtl,Home,Max Arch
97122 ADJUNCTIVE GENERAL SERV Drugs/Medication, Dispensing Bleaching,Vtl,Home,MandArch
97131 ADJUNCTIVE GENERAL SERV Drugs/Medication, Dispensing Micro-Abrasion 1U
97132 ADJUNCTIVE GENERAL SERV Drugs/Medication, Dispensing Micro-Abrasion 2U
97133 ADJUNCTIVE GENERAL SERV Drugs/Medication, Dispensing Micro-Abrasion 3U
97134 ADJUNCTIVE GENERAL SERV Drugs/Medication, Dispensing Micro-Abrasion 4U
97139 ADJUNCTIVE GENERAL SERV Drugs/Medication, Dispensing Micro-Abrasion EAU
99111 ADJUNCTIVE GENERAL SERV Laboratory and Expense Proced '+L' Commercial Lab Procdrs
99333 ADJUNCTIVE GENERAL SERV Laboratory and Expense Proced '+L' In-Office Lab Procdrs
99555 ADJUNCTIVE GENERAL SERV Laboratory and Expense Proced '+E' Addit Expense Material
99711 ADJUNCTIVE GENERAL SERV Laboratory and Expense Proced #NAME?
99712 ADJUNCTIVE GENERAL SERV Laboratory and Expense Proced #NAME?
99713 ADJUNCTIVE GENERAL SERV Laboratory and Expense Proced #NAME?