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Code
Type
Clinical Procedure
Unit
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
- Adjustments/Repairs/Maint, Appliances
- One Unit
14402
- PREVENTION/Ctl Oral Habit
- Adjustments/Repairs/Maint, Appliances
- Two Units
14502
- Other, PREVENTION SERVICES
- Mouth Guards
- Processed
14611
- Adjunctive, PERIODONTICS
- Appliances
- Maxillary
14612
- Adjunctive, PERIODONTICS
- Appliances
- Mandibular
14621
- Adjunctive, PERIODONTICS
- Appliances, Maintenance/Adjustment/Repair
- One Unit
14622
- Adjunctive, PERIODONTICS
- Appliances, Maintenance/Adjustment/Repair
- Two Units
14623
- Adjunctive, PERIODONTICS
- Appliances, Maintenance/Adjustment/Repair
- Three Units
14629
- Adjunctive, PERIODONTICS
- Appliances, Maintenance/Adjustment/Repair
- Each Addtl Over Three
14631
- Adjunctive, PERIODONTICS
- Appliances, Reline
- Direct
14632
- Adjunctive, PERIODONTICS
- Appliances, Reline
- Processed
14721
- Adjunctive, PERIODONTICS
- Appliances, Intraoral Repair, mandibular Joint, Temporo
- Maxillary