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Code
Type
Clinical Procedure
Unit
27113
- CROWNS/SINGLE, RESTORATION
- Acrylic/Composite/Compomer
- Indirect, Provisional
27115
- IMPLANT - RESTORATIVE
- Acry/Compos/Compomer, Crown
- Implant-supp, Indirect
27121
- CROWNS/SINGLE, RESTORATION
- Acrylic/Composite/Compomer
- Chairside, Direct, Prov.
27125
- IMPLANT - RESTORATIVE
- Acry/Compos/Compomer, Crown
- Direct, Implant-supp, Provisional
27131
- CROWNS/SINGLE, RESTORATION
- Acrylic/Composite/Compomer
- Cast Metal Base, 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.
27135
- IMPLANT - RESTORATIVE
- Acry/Compos/Compomer, Crown
- Cast Metal Base, Implant-supp
27135
- CROWNS/SINGLE, RESTORATION
- Acrylic/Composite/Compomer
- Cast Metal Base, Implant-Sup
27145
- IMPLANT - RESTORATIVE
- Acry/Compos/Compomer/Prefab MtlBase, Crown
- Direct, Implant-supp, Provisional
27155
- IMPLANT - RESTORATIVE
- Acry/Compos/Compomer/Prefab MtlBase, Crown
- Implant-supp, Indirect, Provisional
27201
- CROWNS/SINGLE, RESTORATION
- Porcelain/Ceramic/Poly.Glass
- Crown
27202
- IMPLANT - RESTORATIVE
- Crown, Porc/Ceramic/Poly.Glass
- Complicated
27205
- IMPLANT - RESTORATIVE
- Crown, Porc/Ceramic/Poly.Glass
- Implant-Supported, Includes Abutmnt
27205
- CROWNS/SINGLE, RESTORATION
- Porcelain/Ceramic/Poly.Glass
- Implant-Supported, Includes Abutmnt
27211
- CROWNS/SINGLE, RESTORATION
- Porcln/Cerm/Poly.GFused to Met
- Crown
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.
27212
- CROWNS/SINGLE, RESTORATION
- Porcln/Cerm/Poly.GFused to Met
- Complicated
27213
- CROWNS/SINGLE, RESTORATION
- Porcln/Cerm/Poly.GFused to Met
- With Porcelain Margin
27215
- IMPLANT - RESTORATIVE
- Porcln/Cerm/Poly.GFused to Met
- Implant-Supported, Includes Abutmnt
27215
- CROWNS/SINGLE, RESTORATION
- Porcln/Cerm/Poly.GFused to Met
- Implant-Supported, Includes Abutmnt
27221
- CROWNS/SINGLE, RESTORATION
- Porcelain/Ceramic/Poly.Glass
- 3/4, Crown
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.
27222
- CROWNS/SINGLE, RESTORATION
- Porcelain/Ceramic/Poly.Glass
- 3/4, Complicated, Crown