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Code
Type
Clinical Procedure
Unit
25752
- POSTS, RESTORATIONS
- Non Bonded Amal Core, Prefab
- Two Posts(same tooth)+ Pins
25753
- POSTS, RESTORATIONS
- Non Bonded Amal Core, Prefab
- ThreePosts(same tooth)+Pins
25754
- POSTS, RESTORATIONS
- NonBonded Compos Core, Prefab
- One Post + Pins
25755
- POSTS, RESTORATIONS
- NonBonded Compos Core, Prefab
- Two Posts(same tooth)+ Pins
25756
- POSTS, RESTORATIONS
- NonBonded Compos Core, Prefab
- ThreePosts(same tooth)+Pins
25761
- POSTS, RESTORATIONS
- Bonded Amal Core, Prefab
- One Post + Pins
25762
- POSTS, RESTORATIONS
- Bonded Amal Core, Prefab
- Two Posts(same tooth)+ Pins
25763
- POSTS, RESTORATIONS
- Bonded Amal Core, Prefab
- ThreePosts(same tooth)+Pins
25764
- POSTS, RESTORATIONS
- Bonded Compos/Cpnr Core, Prefab
- One Post + Pins
25765
- POSTS, RESTORATIONS
- Bonded Compos/Cpnr Core, Prefab
- Two Posts(same tooth)+ Pins
25766
- POSTS, RESTORATIONS
- Bonded Compos/Cpnr Core, Prefab
- ThreePosts(same tooth)+Pins
25781
- POSTS, RESTORATIONS
- Post Removal
- One Unit
25782
- POSTS, RESTORATIONS
- Post Removal
- Two Units
25783
- POSTS, RESTORATIONS
- Post Removal
- Three Units
25784
- POSTS, RESTORATIONS
- Post Removal
- Four Units
25789
- POSTS, RESTORATIONS
- Post Removal
- Each Addtl Unit Over Four
26101
- IMPLANT - RESTORATIVE
- Mesostructures, Osseo-integr
- /implant, Angulated, Indirect
26102
- IMPLANT - RESTORATIVE
- Mesostructures, Restorative
- Custom Lab/implant, Indirect
26103
- IMPLANT - RESTORATIVE
- Mesostructures, Restorative
- /implant site, Direct
27111
- CROWNS/SINGLE, RESTORATION
- Acrylic/Composite/Compomer
- Crown, Indirect
The following is included in the overall crown fee: preparation of the tooth, retraction of gingival tissue, impression, temporization, seating and cementation of crown, necessary adjustments to opposing and/or adjacent teeth.