Filter by:
Code
Type
Clinical Procedure
Unit
21231
- AMALGAM, RESTORATIONS
- Bonded, Perm Bicuspids/Anteriors
- One Surface
21232
- AMALGAM, RESTORATIONS
- Bonded, Perm Bicuspids/Anteriors
- Two Surfaces
21233
- AMALGAM, RESTORATIONS
- Bonded, Perm Bicuspids/Anteriors
- Three Surfaces
21234
- AMALGAM, RESTORATIONS
- Bonded, Perm Bicuspids/Anteriors
- Four Surfaces
21235
- AMALGAM, RESTORATIONS
- Bonded, Perm Bicuspids/Anteriors
- Five Surfaces or Max per Tooth
21241
- AMALGAM, RESTORATIONS
- Bonded, Permanent Molars
- One Surface
21242
- AMALGAM, RESTORATIONS
- Bonded, Permanent Molars
- Two Surfaces
21243
- AMALGAM, RESTORATIONS
- Bonded, Permanent Molars
- Three Surfaces
21244
- AMALGAM, RESTORATIONS
- Bonded, Permanent Molars
- Four Surfaces
21245
- AMALGAM, RESTORATIONS
- Bonded, Permanent Molars
- Five Surfaces or Max per Tooth
21301
- AMALGAM, RESTORATIONS
- Cores - Non-Bonded
- In Conjunction With Crown
21302
- AMALGAM, RESTORATIONS
- Cores - Bonded
- In Conjunction With Crown
21401
- AMALGAM, RESTORATIONS
- Pins, Retentive / Restoration
- One Pin
21402
- AMALGAM, RESTORATIONS
- Pins, Retentive / Restoration
- Two Pins
21403
- AMALGAM, RESTORATIONS
- Pins, Retentive / Restoration
- Three Pins
21404
- AMALGAM, RESTORATIONS
- Pins, Retentive / Restoration
- Four Pins
21405
- AMALGAM, RESTORATIONS
- Pins, Retentive / Restoration
- Five Pins or More
21501
- RESTORATIONS
- To Tooth Supp.Exist.Part.Dent
- Clasp, Per Restoration
22201
- PREFAB, RESTORATIONS
- Full Coverage, Metal, Primary
- Anterior
22211
- PREFAB, RESTORATIONS
- Full Coverage, Metal, Primary
- Posterior