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73 Cards in this Set
- Front
- Back
0120 |
POE |
|
0140 |
LOE |
|
0150 |
COE/Comp |
|
0220 |
First single x-ray |
|
0230 |
Additional x-rays |
|
0272 |
2 BWx |
|
0274 |
4 BWx |
|
0330 |
Pano |
|
1110 |
Adult prophy |
|
1120 |
Child prophy |
|
1208 |
FL. TX |
|
1351 |
Sealants |
|
1510 |
Space maintainer - unilateral |
|
1515 |
Space maintainer - bilateral |
|
2140 |
1 surface amalgam |
|
2150 |
2 surface amalgam |
|
2160 |
3 surface amalgam |
|
2161 |
4+ surface amalgam |
|
2330 |
1 surface composite, anterior |
|
2331 |
2 surface composite, anterior |
|
2332 |
3 surface composite, anterior |
|
2335 |
4+ surface composite, anterior |
|
2391 |
1 surface composite, posterior |
|
2392 |
2 surface composite, posterior |
|
2393 |
3 surface composite, posterior |
|
2394 |
4+ surface composite, posterior |
|
7250 |
Residual tooth roots/cutting |
|
7310 |
Alveoplasty, 4+ teeth with extraction |
|
7311 |
Alveoplasty, 1-3 teeth, with extraction |
|
7320 |
Alveoplasty, 4+ teeth, with extraction done elsewhere |
|
7321 |
Alveoplasty, 1-3 teeth, with extraction done elsewhere |
|
7465 |
Destruction of lesion |
|
7473 |
Removal of torus |
|
7510 |
Incision and drainage of abscess |
|
7858 |
TMJ reconstruction |
|
7920 |
Skin graft |
|
7940 |
Osteoplasty |
|
7960 |
Frenectomy |
|
5110 |
Maxillary denture |
|
5120 |
Mandibular denture |
|
5130 |
Immediate maxillary denture |
|
5140 |
Immediate mandibular denture |
|
5211 |
Maxillary partial - resin base |
|
5212 |
Mandibular partial - resin base |
|
5225 |
Maxillary partial - flex base |
|
5226 |
Mandibular partial - flex base |
|
5410 |
Adjust maxillary denture |
|
5411 |
Adjust mandibular denture |
|
5421 |
Adjust maxillary partial |
|
5422 |
Adjust mandibular partial |
|
5510 |
Repair broken denture base |
|
5520 |
Replace missing/broken teeth on denture |
|
5640 |
Replace multiple broken teeth |
|
5650 |
Add tooth to existing partial |
|
5660 |
Add clasp to existing partial |
|
5730 |
Reline maxillary denture - chairside |
|
5731 |
Reline mandibular denture - chairside |
|
5740 |
Reline maxillary partial - chairside |
|
2390 |
Anterior composite crown |
|
3920 |
Indirect pulp cap |
|
5741 |
Reline mandibular partial - chairside |
|
5750 |
Reline maxillary denture - lab |
|
5751 |
Reline mandibular denture - lab |
|
5760 |
Reline maxillary partial - lab |
|
5761 |
Reline mandibular partial - lab |
|
5810 |
Interim maxillary denture |
|
5811 |
Interim mandibular denture |
|
5820 |
Interim maxillary partial |
|
5821 |
Interim mandibular partial |
|
5952 |
Speech aide - pediatric |
|
5953 |
Speech aide - adult |
|
7997 |
Appliance removal - not by dentist who placed appliance |
|
7999 |
Unspecified oral surgery procedure |