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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | ACID ETCH JOINT + RESTORATION / JOINT | 320002 | 20015103 | 400 | |||
0 | ACTIVE ORTHODONTIC ADJUSTMENT | 320003 | 2008660 | 650 | |||
0 | ADDITIONAL ACRYLIC TOOTH | 320004 | 2005650 | 200 | |||
0 | ADDITIONAL CLASP | 320005 | 2005660 | 200 | |||
0 | ADD'L INTRA OSSEUS W1RNG/PLATING | 320006 | 21497 | 3,200.00 | |||
0 | ADJUSTMENT OF RETAINER | 320007 | 2008693 | 260 | |||
0 | ALAER BASAL SINCH | 320008 | 4,000.00 | ||||
0 | ALVEOLECTOMY/QUADRANT | 97331-00[459] | 320009 | 41830 | 590 | ||
0 | ALVEOLOPLASTY | 97331-00[959] | 320010 | 41874 | 2,200.00 | ||
0 | ALVEOLOPLASTY, IN CONJUNCTION WITH MULTIPLE | 97331-00[959] | 320011 | 2007310 | 400 | ||
EXTRACTIONS - PER SITE | |||||||
0 | ALVEOLOPLASTY, NOT IN CONJUNCTION WITH EXTRACTIONS - PER SITE | 97331-00[959] | 320012 | 2007320 | 680 |
ACID ETCH JOINT + RESTORATION / JOINT
400
ACTIVE ORTHODONTIC ADJUSTMENT
650
ADDITIONAL ACRYLIC TOOTH
200
ADDITIONAL CLASP
200
ADD'L INTRA OSSEUS W1RNG/PLATING
3,200.00
ADJUSTMENT OF RETAINER
260
ALAER BASAL SINCH
4,000.00
ALVEOLECTOMY/QUADRANT
590
ALVEOLOPLASTY
2,200.00
ALVEOLOPLASTY, IN CONJUNCTION WITH MULTIPLE
400
EXTRACTIONS - PER SITE
ALVEOLOPLASTY, NOT IN CONJUNCTION WITH EXTRACTIONS - PER SITE
680
لا توجد خطط متوفرةبمجرد توفر خطط للشراء، ستراها هنا.
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