top of page
Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | EXTRACT(SURG) OF ROOT-SIMPLE | 97451-00[464] | 320114 | 2007130 | 480 | ||
0 | EXTRACTION - REQUIRING INCISION OF OVERLYING SOFT TISSUE, ELEVATION OF FLAP, REMOVAL OF BONE + SECTIONING - EACH ADDITIONAL | 320115 | 2004240 | 200 | |||
0 | AMALGAM FILLING 2 OR MORE SURFACE | 97512-01[465] | 320019 | 2002120 | 280 | ||
0 | AMALGAM FILLING W/ AMALGAM BOND ADD'L | 320020 | 60 | ||||
0 | AMALGAM POST AND CORE | 320021 | 2006972 | 440 | |||
0 | AMALGAM RESTORATION 1 SURFACE OR SIMPLE TWO SURFACES( E.G. SIMPLE OCCLUSOLINGUAL RESTORATION) | 97511-01[465] | 320022 | 2002385 | 200 | ||
0 | ANTERIOR BITE PLANE APPLIANCE | 320023 | 20015104 | 1,900.00 | |||
0 | ANTERIOR BITE PLATE | 320024 | 1,000.00 | ||||
0 | ANTERIOR POST & CORE � ESTHETIC ) INDIRECT | 320025 | 2002952 | 760 | |||
REQUIRING IMPRESSION ) | |||||||
0 | ANTERIOR POST & CORE ( WITH ESTHETIC POST & | 320026 | 2002954 | 640 | |||
CORE BUILD UP/DIRECT ) |
EXTRACT(SURG) OF ROOT-SIMPLE
480
EXTRACTION - REQUIRING INCISION OF OVERLYING SOFT TISSUE, ELEVATION OF FLAP, REMOVAL OF BONE + SECTIONING - EACH ADDITIONAL
200
AMALGAM FILLING 2 OR MORE SURFACE
280
AMALGAM FILLING W/ AMALGAM BOND ADD'L
60
AMALGAM POST AND CORE
440
AMALGAM RESTORATION 1 SURFACE OR SIMPLE TWO SURFACES( E.G. SIMPLE OCCLUSOLINGUAL RESTORATION)
200
ANTERIOR BITE PLANE APPLIANCE
1,900.00
ANTERIOR BITE PLATE
1,000.00
ANTERIOR POST & CORE � ESTHETIC ) INDIRECT
760
REQUIRING IMPRESSION )
ANTERIOR POST & CORE ( WITH ESTHETIC POST &
640
CORE BUILD UP/DIRECT )
لا توجد خطط متوفرةبمجرد توفر خطط للشراء، ستراها هنا.
bottom of page