Filter by:
Code
Type
Clinical Procedure
Unit
21111
- AMALGAM, RESTORATIONS
- Non Bonded, Primary Teeth
- One Surface
21112
- AMALGAM, RESTORATIONS
- Non Bonded, Primary Teeth
- Two Surfaces
21113
- AMALGAM, RESTORATIONS
- Non Bonded, Primary Teeth
- Three Surfaces
21114
- AMALGAM, RESTORATIONS
- Non Bonded, Primary Teeth
- Four Surfaces
21115
- AMALGAM, RESTORATIONS
- Non Bonded, Primary Teeth
- Five Surfaces or Max per Tooth
21121
- AMALGAM, RESTORATIONS
- Bonded, Primary Teeth
- One Surface
21122
- AMALGAM, RESTORATIONS
- Bonded, Primary Teeth
- Two Surfaces
21123
- AMALGAM, RESTORATIONS
- Bonded, Primary Teeth
- Three Surfaces
21124
- AMALGAM, RESTORATIONS
- Bonded, Primary Teeth
- Four Surfaces
21125
- AMALGAM, RESTORATIONS
- Bonded, Primary Teeth
- Five Surfaces or Max per Tooth
21211
- AMALGAM, RESTORATIONS
- Non Bonded Permanent Bicuspids/Anteriors
- One Surface
21212
- AMALGAM, RESTORATIONS
- Non Bonded Permanent Bicuspids/Anteriors
- Two Surfaces
21213
- AMALGAM, RESTORATIONS
- Non Bonded Permanent Bicuspids/Anteriors
- Three Surfaces
21214
- AMALGAM, RESTORATIONS
- Non Bonded Permanent Bicuspids/Anteriors
- Four Surfaces
21215
- AMALGAM, RESTORATIONS
- Non Bonded Permanent Bicuspids/Anteriors
- Five Surfaces or Max per Tooth
21221
- AMALGAM, RESTORATIONS
- Non Bonded, Permanent Molars
- One Surface
21222
- AMALGAM, RESTORATIONS
- Non Bonded, Permanent Molars
- Two Surfaces
21223
- AMALGAM, RESTORATIONS
- Non Bonded, Permanent Molars
- Three Surfaces
21224
- AMALGAM, RESTORATIONS
- Non Bonded, Permanent Molars
- Four Surfaces
21225
- AMALGAM, RESTORATIONS
- Non Bonded, Permanent Molars
- Five Surfaces or Max per Tooth