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Code
Type
Clinical Procedure
Unit
14929
- Appliances, PREVENTION
- 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
- Other, PREVENTION SERVICES
- Finishing Restorations
- One Unit
16102
- Other, PREVENTION SERVICES
- Finishing Restorations
- Two Units
16103
- Other, PREVENTION SERVICES
- Finishing Restorations
- Three Units
16104
- Other, PREVENTION SERVICES
- Finishing Restorations
- Four Units