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Code
Type
Clinical Procedure
Unit
25143
- INLAYS, RESTORATIONS
- Porcelain/Ceramic/Poly.Glass
- Bonded 3S
25144
- INLAYS, RESTORATIONS
- Porcelain/Ceramic/Poly.Glass
- Bonded, Modified 3S
25511
- ONLAYS, RESTORATIONS
- Cast Metal, Indirect
- Per Tooth
25521
- ONLAYS, RESTORATIONS
- Composite/Compomer, Indirect
- Bonded, Per Tooth
25531
- ONLAYS, RESTORATIONS
- Ceramic, Poly.Glass, Porcelain
- 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
- POSTS, RESTORATIONS
- Cast Metal (including Core)
- Separate Procedure 1sect
25712
- POSTS, RESTORATIONS
- Cast Metal (including Core)
- Separate Procedure 2sect
25713
- POSTS, RESTORATIONS
- Cast Metal (including Core)
- Separate Procedure 3sect
25721
- POSTS, RESTORATIONS
- Cast Metal (including Core)
- Concurrent w Impress 1sect
25722
- POSTS, RESTORATIONS
- Cast Metal (including Core)
- Concurrent w Impress 2sect
25723
- POSTS, RESTORATIONS
- Cast Metal (including Core)
- Concurrent w Impress 3sect
25731
- POSTS, RESTORATIONS
- Prefabricated Retentive
- One Post
25732
- POSTS, RESTORATIONS
- Prefabricated Retentive
- Two Posts same Tooth
25733
- POSTS, RESTORATIONS
- Prefabricated Retentive
- Three Posts same Tooth
25751
- POSTS, RESTORATIONS
- Non Bonded Amal Core, Prefab
- One Post + Pins