fbpx

BOARDWALK DENTAL CARE

 

Dr. RICHARD WUERKER - DDS

Speciality - GP

Phone: 9704078080

$1009 - Abutment Supported Porcelain Fused To Metal Crown (Predominantly Base Metal)
$102 - Interpretation Of Diagnostic Image By A Practitioner Not Associated With Capture Of The Image Including Report
$102 - Consultation - Diagnostic Service Provided By Dentist Or Physician Other Than Requesting Dentist Or Physician
$1020 - Abutment Supported Cast Metal Crown (High Noble Metal)
$1020 - Implant Supported Retainer For Cast Metal Fpd (Titanium Titanium Alloy Or High Noble Metal)
$1023 - Abutment Supported Retainer For Porcelain Fused To Metal Fpd (Predominantly Base Metal)
$1025 - Abutment Supported Retainer For Cast Metal Fpd (Noble Metal)
$1030 - Abutment Supported Porcelain Fused To Metal Crown (Noble Metal)
$1030 - Implant Supported Porcelain Fused To Metal Crown (Titanium Titanium Alloy High Noble Metal)
$104 - Apexification/Recalcification/Pulpal Regeneration - Interim Medication Replacement (Apical Closure/Calcific Repair Of Perforations Root Resorption Pulp Space Disinfection Etc.)
$104 - Pulpal Regeneration - Interim Medication Replacement
$1044 - Abutment Supported Retainer For Porcelain Fused To Metal Fpd (Noble Metal)
$105 - Crown Repair By Report
$105 - Inlay Repair Necessitated By Restorative Material Failure
$105 - Onlay Repair Necessitated By Restorative Material Failure
$105 - Veneer Repair Necessitated By Restorative Material Failure
$105 - Repair Implant Supported Prosthesis By Report
$1051 - Implant Supported Retainer For Porcelain Fused To Metal Fpd (Titanium Titanium Alloy Or High Noble Metal)
$1057 - Abutment Supported Retainer For Cast Metal Fpd (High Noble Metal)
$106 - Resin-Based Composite - Two Surfaces Anterior
$1061 - Abutment Supported Porcelain Fused To Metal Crown (High Noble Metal)
$1061 - Implant Supported Porcelain/Ceramic Crown
$107 - Pulpal Therapy (Resorbable Filling) - Anterior Primary Tooth (Excluding Final Restoration)
$1079 - Implant Supported Retainer For Ceramic Fpd
$108 - deep sedation/general anesthesia ? first 15 minutes
$108 - Deep Sedation/General Anesthesia ? Each 15 Minute Increment
$1082 - Abutment Supported Porcelain/Ceramic Crown
$1083 - Abutment Supported Retainer For Porcelain Fused To Metal Fpd (High Noble Metal)
$1088 - Abutment Supported Retainer For Porcelain/Ceramic Fpd
$109 - Pulpal Debridement Primary And Permanent Teeth
$110 - Amalgam - Three Surfaces Primary Or Permanent
$112 - Add Tooth To Existing Partial Denture
$114 - Detailed And Extensive Oral Evaluation - Problem Focused By Report
$114 - Pulpal Therapy (Resorbable Filling) - Posterior Primary Tooth (Excluding Final Restoration)
$114 - repair cast partial framework mandibular
$114 - repair cast partial framework maxillary
$114 - Excision Of Pericoronal Gingiva
$119 - Each Additional Indirectly Fabricated Post - Same Tooth
$120 - Alveoloplasty In Conjunction With Extractions - One To Three Teeth Or Tooth Spaces Per Quadrant
$125 - Bone Graft In Conjunction With Periradicular Surgery ? Each Additional Contiguous Tooth In The Same Surgical Site
$125 - Bone Replacement Graft - Each Additional Site In Quadrant
$126 - Resin-Based Composite - Two Surfaces Posterior
$126 - Repair Or Replace Broken Clasp
$129 - Repair And/Or Reline Of Occlusal Guard
$13 - Intraoral - Periapical Each Additional Film
$130 - Resin-Based Composite - Three Surfaces Anterior
$130 - Bone Graft At Time Of Implant Placement
$130 - Bone Replacement Graft For Ridge Preservation ? Per Site
$130 - House/Extended Care Facility Call
$131 - Internal Root Repair Of Perforation Defects
$135 - Add Clasp To Existing Partial Denture
$136 - Connector Bar
$137 - Gingivectomy Or Gingivoplasty - One To Three Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant
$142 - Amalgam - Four Or More Surfaces Primary Or Permanent
$1423 - Implant /Abutment Supported Removable Denture For Edentulous Arch ? Maxillary
$1423 - Implant /Abutment Supported Removable Denture For Edentulous Arch ? Mandibular
$1423 - Implant /Abutment Supported Removable Denture For Partially Edentulous Arch ? Maxillary
$1423 - Implant /Abutment Supported Removable Denture For Partially Edentulous Arch ? Mandibular
$145 - Retrograde Filling - Per Root
$146 - Post Removal (Not In Conjunction With Endodontic Therapy)
$147 - Treatment Of Root Canal Obstruction; Non-Surgical Access
$148 - Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant
$149 - Core Buildup Including Any Pins
$149 - Surgical Removal Of Erupted Tooth Requiring Removal Of Bone And/Or Sectioning Of Tooth And Including Elevation Of Mucoperiosteal Flap If Indicated
$150 - Fixed Partial Denture Repair By Report
$153 - Resin-Based Composite - Four Or More Surfaces Or Involving Incisal Angle (Anterior)
$155 - Prefabricated Stainless Steel Crown - Primary Tooth
$157 - Surgical Removal Of Residual Tooth Roots (Cutting Procedure)
$158 - Resin-Based Composite - Three Surfaces Posterior
$16 - Intraoral - Periapical First Film
$16 - Bitewing - Single Film
$17 - Local Anesthesia In Conjunction With Operative Or Surgical Procedures
$173 - Resin-Based Composite Crown Anterior
$173 - Reline Maxillary Partial Denture (Chairside)
$173 - Reline Mandibular Partial Denture (Chairside)
$173 - Alveoloplasty In Conjunction With Extractions ? Four Or More Teeth Or Tooth Spaces Per Quadrant
$175 - Prefabricated Stainless Steel Crown - Permanent Tooth
$179 - Distal Or Proximal Wedge Procedure (When Not Performed In Conjunction With Surgical Procedures In The Same Anatomical Area)
$180 - Stress Breaker
$181 - Hospital Or Ambulatory Surgical Center Call
$182 - Removal Of Impacted Tooth - Soft Tissue
$187 - Prefabricated Post And Core In Addition To Crown
$187 - Incision And Drainage Of Abscess - Intraoral Soft Tissue - Complicated (Includes Drainage Of Multiple Fascial Spaces)
$188 - Reline Complete Maxillary Denture (Chairside)
$188 - Reline Complete Mandibular Denture (Chairside)
$190 - Surgical Placement: Temporary Anchorage Device Without Surgical Flap
$1906 - Surgical Placement Of Implant Body: Endosteal Implant
$1906 - Surgical Placement Of Mini Implant
$193 - Resin-Based Composite - Four Or More Surfaces Posterior
$194 - Apicoectomy/Periradicular Surgery (Each Additional Root)
$198 - Space Maintainer - Fixed - Unilateral
$198 - Distal Shoe Space Maintainer ? Fixed ? Unilateral
$21 - Topical Application Of Fluoride
$212 - Alveoloplasty Not In Conjunction With Extractions - One To Three Teeth Or Tooth Spaces Per Quadrant
$2153 - Interceptive Orthodontic Treatment Of The Primary Dentition
$2153 - Interceptive Orthodontic Treatment Of The Transitional Dentition
$220 - Prefabricated Resin Crown
$229 - Hemisection (Including Any Root Removal) Not Including Root Canal Therapy
$229 - Surgical Placement: Temporary Anchorage Device Requiring Surgical Flap
$231 - Provisional Splinting - Extracoronal
$236 - Space Maintainer - Removable - Unilateral
$236 - Provisional Crown? Further Treatment Or Completion Of Diagnosis Necessary Prior To Final Impression
$236 - Provisional Implant Crown
$236 - Provisional Pontic
$236 - Provisional Retainer Crown
$237 - Post And Core In Addition To Crown Indirectly Fabricated
$237 - Apexification/Recalcification/Pulpal Regeneration ? Initial Visit (Apical Closure/Calcific Repair Of Perforations Root Resorption Pulp Space Disinfection Etc.)
$237 - Pulpal Regeneration - Initial Visit
$237 - Pulpal Regeneration - Completion Of Treatment
$239 - Bone Graft In Conjunction With Periradicular Surgery ? Per Tooth Single Site
$239 - Bone Replacement Graft - First Site In Quadrant
$239 - Bone Graft For Repair Of Periimplant Defect ? Not Including Flap Entry And Closure Or When Indicated Placement Of A Barrier Membrane Or Biologic Materials To Aid In Osseous Regeneration
$24 - Intraoral - Occlusal Film
$24 - Extra-Oral Posterior Dental Radiographic Image
$24 - Bitewings - Two Films
$24 - Local Anesthesia Not In Conjunction With Operative Or Surgical Procedures
$242 - Removal Of Impacted Tooth - Partially Bony
$247 - Reline Complete Maxillary Denture (Laboratory)
$247 - Reline Complete Mandibular Denture (Laboratory)
$247 - Reline Maxillary Partial Denture (Laboratory)
$247 - Reline Mandibular Partial Denture (Laboratory)
$252 - Prefabricated Porcelain/Ceramic Crown ? Primary Tooth
$252 - Prefabricated Stainless Steel Crown With Resin Window
$252 - Prefabricated Esthetic Coated Stainless Steel Crown - Primary Tooth
$252 - Biopsy Of Oral Tissue - Soft
$253 - Retainer - Cast Metal For Resin Bonded Fixed Prosthesis
$253 - Resin Retainer ? For Resin Bonded Fixed Prosthesis
$26 - Regional Block Anesthesia
$265 - space maintainer ? fixed ? bilateral maxillary
$265 - space maintainer ? fixed ? bilateral mandibular
$268 - Crown - ? Resin-Based Composite (Indirect)
$268 - Provisional Splinting - Intracoronal
$269 - Crown - Resin-Based Composite (Indirect)
$27 - Periodic Oral Evaluation - Established Patient
$270 - Guided Tissue Regeneration - Resorbable Barrier Per Site
$274 - Internal Bleaching - Per Tooth
$278 - Gingival Flap Procedure Including Root Planing - One To Three Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant
$278 - Debridement Of A Periimplant Defect And Surface Cleaning Of Exposed Implant Surfaces Including Flap Entry And Closure
$28 - Pulp Vitality Tests
$28 - Nutritional Counseling For Control Of Dental Disease
$286 - Tooth Reimplantation And/Or Stabilization Of Accidentally Evulsed Or Displaced Tooth
$286 - Surgical Reduction Of Fibrous Tuberosity
$288 - Removal Of Impacted Tooth - Completely Bony
$288 - Coronectomy ? Intentional Partial Tooth Removal
$288 - Harvest Of Bone For Use In Autogenous Grafting Procedure
$29 - Bitewings - Three Films
$294 - Root Amputation - Per Root
$30 - Oral Evaluation For A Patient Under Three Years Of Age And Counseling With Primary Caregiver
$30 - Extraoral - First Film
$30 - Tobacco Counseling For The Control And Prevention Of Oral Disease
$301 - Interim Partial Denture (Maxillary)
$309 - Retainer - Porcelain/Ceramic For Resin Bonded Fixed Prosthesis
$31 - Topical Fluoride Varnish; Therapeutic Application For Moderate To High Caries Risk Patients
$31 - Sealant - Per Tooth
$31 - Preventive Resin Restoration In A Moderate To High Caries Risk Patient ? Permanent Tooth
$31 - Sealant Repair ? Per Tooth
$31 - Therapeutic Parenteral Drug Single Administration
$315 - Rebase Complete Mandibular Denture
$315 - Rebase Maxillary Partial Denture
$315 - Rebase Mandibular Partial Denture
$315 - Orthodontic Retention (Removal Of Appliances Construction And Placement Of Retainer(S))
$32 - Re-Evaluation - Limited Problem Focused (Established Patient; Not Post-Operative Visit)
$32 - Inhalation Of Nitrous Oxide / Anxiolysis Analgesia
$326 - space maintainer ? removable ? bilateral maxillary
$326 - space maintainer ? removable ? bilateral mandibular
$326 - Interim Partial Denture (Mandibular)
$334 - Rebase Complete Maxillary Denture
$34 - Pin Retention - Per Tooth In Addition To Restoration
$340 - Apically Positioned Flap
$340 - Surgical Access Of An Unerupted Tooth
$340 - Alveoloplasty Not In Conjunction With Extractions ?four Or More Teeth Or Tooth Spaces Per Quadrant
$35 - Bitewings - Four Films
$35 - Pulp Cap - Indirect (Excluding Final Restoration)
$350 - Apexification/Recalcification - Final Visit (Includes Completed Root Canal Therapy - Apical Closure/Calcific Repair Of Perforations Root Resorption Etc.)
$350 - Frenulectomy ? Also Known As Frenectomy Or Frenotomy ? Separate Procedure Not Incidental To Another Procedure
$350 - External Bleaching - Per Arch
$353 - Precision Attachment
$357 - Removal Of Impacted Tooth - Completely Bony With Unusual Surgical Complications
$361 - Incomplete Endodontic Therapy; Inoperable Unrestorable Or Fractured Tooth
$361 - Guided Tissue Regeneration - Nonresorbable Barrier Per Site (Includes Membrane Removal)
$361 - Excision Of Hyperplastic Tissue - Per Arch
$365 - Frenuloplasty
$366 - Surgical Placement: Temporary Anchorage Device [screw Retained Plate] Requiring Surgical Flap
$37 - Oral/Facial Photographic Images
$38 - Prophylaxis - Child
$38 - Oral Hygiene Instructions
$391 - Gingivectomy Or Gingivoplasty - Four Or More Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant
$393 - Osseous Surgery (Including Flap Entry And Closure) - One To Three Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant
$393 - Debridement And Osseous Contouring Of A Periimplant Defect; Includes Surface Cleaning Of Exposed Implant Surfaces And Flap Entry And Closure
$396 - Prefabricated Abutment - Includes Placement
$397 - Interim Complete Denture (Maxillary)
$40 - Limited Oral Evaluation - Problem Focused
$40 - Pre-Orthodontic Treatment Visit
$40 - Evaluation For Deep Sedation Or General Anesthesia
$41 - Office Visit For Observation (During Regularly Scheduled Hours) - No Other Services Performed
$410 - Removable Appliance Therapy
$410 - Fixed Appliance Therapy
$412 - Occlusal Adjustment - Complete
$413 - Endodontic Therapy Anterior Tooth (Excluding Final Restoration)
$42 - Pulp Cap - Direct (Excluding Final Restoration)
$420 - Interim Complete Denture (Mandibular)
$422 - Inlay - Resin-Based Composite - One Surface
$422 - Onlay - Resin-Based Composite - Two Surfaces
$425 - Occlusal Orthotic Device By Report
$426 - occlusal guard ? hard appliance full arch
$426 - occlusal guard ? soft appliance full arch
$426 - occlusal guard ? hard appliance partial arch
$43 - Re-Cementation Of Space Maintainer
$4307 - Comprehensive Orthodontic Treatment Of The Transitional Dentition
$4307 - Comprehensive Orthodontic Treatment Of The Adolescent Dentition
$4307 - Comprehensive Orthodontic Treatment Of The Adult Dentition
$433 - Replace All Teeth And Acrylic On Cast Metal Framework (Maxillary)
$433 - Replace All Teeth And Acrylic On Cast Metal Framework (Mandibular)
$44 - Comprehensive Oral Evaluation - New Or Established Patient
$45 - Adjust Complete Denture - Maxillary
$45 - Adjust Complete Denture - Mandibular
$45 - Adjust Partial Denture - Maxillary
$45 - Adjust Partial Denture - Mandibular
$45 - Occlusal Orthotic Device Adjustment
$45 - Removable Orthodontic Retainer Adjustment
$45 - Occlusal Guard Adjustment
$455 - Sinus Augmentation Via A Vertical Approach
$46 - Therapeutic Parenteral Drugs Two Or More Administrations Different Medications
$460 - Labial Veneer (Resin Laminate) - Chairside
$464 - Inlay - Metallic - One Surface
$464 - Gingival Flap Procedure Including Root Planing - Four Or More Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant
$479 - Apicoectomy/Periradicular Surgery - Anterior
$479 - Periradicular Surgery Without Apicoectomy
$489 - Semi-Precision Attachment Abutment
$489 - Custom Abutment - Includes Placement
$49 - Comprehensive Periodontal Evaluation - New Or Established Patient
$494 - Clinical Crown Lengthening - Hard Tissue
$495 - Inlay - Cast Predominantly Base Metal Two Surfaces
$50 - remove broken implant retaining screw
$503 - Inlay - Cast Noble Metal Two Surfaces
$504 - Limited Orthodontic Treatment Of The Primary Dentition
$504 - Limited Orthodontic Treatment Of The Transitional Dentition
$504 - Limited Orthodontic Treatment Of The Adolescent Dentition
$504 - Limited Orthodontic Treatment Of The Adult Dentition
$505 - Inlay - Resin-Based Composite - Two Surfaces
$505 - Onlay - Resin-Based Composite - Three Surfaces
$511 - Endodontic Therapy Bicuspid Tooth (Excluding Final Restoration)
$514 - Inlay - Cast High Noble Metal Two Surfaces
$515 - Labial Veneer (Resin Laminate) - Laboratory
$515 - Soft Tissue Allograft
$515 - Non-Autogenous Connective Tissue Graft Procedure (Including Recipient Surgical Site And Donor Material) ? Each Additional Contiguous Tooth Implant Or Edentulous Tooth Position In Same Graft Site
$522 - Inlay - Metallic - Two Surfaces
$523 - Apicoectomy/Periradicular Surgery - Bicuspid (First Root)
$525 - removable unilateral partial denture ? one piece cast metal (including clasps and teeth) maxillary
$525 - removable unilateral partial denture ? one piece cast metal (including clasps and teeth) mandibular
$525 - Inlay - Porcelain/Ceramic Two Surfaces
$53 - Prophylaxis - Adult
$53 - Cleaning And Inspection Of Removable Complete Denture Maxillary
$53 - Cleaning And Inspection Of Removable Complete Denture Mandibular
$53 - Cleaning And Inspection Of Removable Partial Denture Maxillary
$53 - Cleaning And Inspection Of Removable Partial Denture Mandibular
$54 - Removal Of Fixed Space Maintainer
$543 - Inlay - Porcelain/Ceramic - One Surface
$546 - Inlay - Resin-Based Composite - Three Or More Surfaces
$546 - Onlay - Resin-Based Composite - Four Or More Surfaces
$546 - Pedicle Soft Tissue Graft Procedure
$546 - Onlay -Porcelain/Ceramic Two Surfaces
$55 - Vertical Bitewings - 7 To 8 Films
$557 - Inlay - Cast Predominantly Base Metal Three Or More Surfaces
$56 - Palliative (Emergency) Treatment Of Dental Pain - Minor Procedure
$56 - Enamel Microabrasion
$56 - External Bleaching - Per Tooth
$561 - Onlay - Cast Predominantly Base Metal Two Surfaces
$563 - Retreatment Of Previous Root Canal Therapy - Anterior
$566 - Surgical Reduction Of Osseous Tuberosity
$567 - Labial Veneer (Porcelain Laminate) - Laboratory
$567 - Free Soft Tissue Graft Procedure (Including Donor Site Surgery) First Tooth Or Edentulous Tooth Position In Graft
$567 - Free Soft Tissue Graft Procedure (Including Donor Site Surgery) Each Additional Contiguous Tooth Or Edentulous Tooth Position In Same Graft Site
$567 - Inlay - Porcelain/Ceramic Three Or More Surfaces
$57 - Recement Inlay Onlay Or Partial Coverage Restoration
$57 - Recement Cast Or Prefabricated Post And Core
$57 - Non-Intravenous Conscious Sedation
$572 - Removal Of Lateral Exostosis (Maxilla Or Mandible)
$573 - Connecting Bar ? Implant Supported Or Abutment Supported
$574 - Inlay - Cast Noble Metal Three Or More Surfaces
$574 - Onlay - Cast Noble Metal Two Surfaces
$575 - Pontic - Porcelain Fused To Predominantly Base Metal
$575 - Crown - Indirect Resin Based Composite
$576 - Inlay - Porcelain/Ceramic - Two Surfaces
$577 - Onlay - Cast High Noble Metal Two Surfaces
$58 - Recement Crown
$58 - Extraction Coronal Remnants - Deciduous Tooth
$586 - Onlay - Cast Noble Metal Three Or More Surfaces
$587 - Pontic - Indirect Resin Based Composite
$587 - Onlay - Porcelain/Ceramic Three Or More Surfaces
$588 - Apicoectomy/Periradicular Surgery - Molar (First Root)
$588 - Inlay - Cast High Noble Metal Three Or More Surfaces
$59 - Protective Restoration
$59 - Interim Therapeutic Restoration ? Primary Dentition
$591 - Pontic - Cast Predominantly Base Metal
$595 - Onlay - Metallic-Two Surfaces
$596 - Onlay - Porcelain/Ceramic - Two Surfaces
$599 - Onlay - Cast Predominantly Base Metal Three Or More Surfaces
$600 - Crown - 3/4 Cast Predominantly Base Metal
$607 - Inlay - Metallic - Three Or More Surfaces
$608 - Pontic - Porcelain Fused To Noble Metal
$608 - Inlay - Titanium
$608 - Onlay - Titanium
$608 - Biopsy Of Oral Tissue - Hard (Bone Tooth)
$61 - Diagnostic Casts
$61 - Fixed Partial Denture Sectioning
$614 - Inlay - Porcelain/Ceramic - Three Or More Surfaces
$615 - Pontic - Cast Noble Metal
$619 - Crown - 3/4 Cast Noble Metal
$620 - Subepithelial Connective Tissue Graft Procedures Per Tooth
$620 - Autogenous Connective Tissue Graft Procedure (Including Donor And Recipient Surgical Sites) ? Each Additional Contiguous Tooth Implant Or Edentulous Tooth Position In Same Graft Site
$620 - Pontic - Cast High Noble Metal
$620 - Crown - Full Cast Predominantly Base Metal
$622 - Onlay - Metallic-Three Surfaces
$623 - Pontic - Porcelain Fused To High Noble Metal
$63 - Localized Delivery Of Antimicrobial Agents Via A Controlled Release Vehicle Into Diseased Crevicular Tissue Per Tooth By Report
$630 - Onlay - Cast High Noble Metal Three Or More Surfaces
$634 - Pontic - Titanium
$635 - Removal Of Torus Mandibularis
$637 - Crown - 3/4 Cast High Noble Metal
$641 - Crown - Full Cast Noble Metal
$641 - Crown - Titanium
$641 - Crown - Porcelain Fused To Predominantly Base Metal
$642 - Pontic - Porcelain/Ceramic
$643 - Onlay - Porcelain/Ceramic - Three Surfaces
$647 - Onlay - Metallic-Four Or More Surfaces
$651 - Crown - Porcelain Fused To Noble Metal
$660 - Endodontic Therapy Molar (Excluding Final Restoration)
$662 - Crown - 3/4 Porcelain/Ceramic
$662 - Crown - Full Cast High Noble Metal
$664 - Retreatment Of Previous Root Canal Therapy - Bicuspid
$67 - Panoramic Film
$673 - Removal Of Torus Palatinus
$680 - Crown - Porcelain/Ceramic Substrate
$680 - Pediatric Partial Denture Fixed
$682 - Onlay - Porcelain/Ceramic - Four Or More Surfaces
$683 - Crown - Porcelain/Ceramic
$683 - Crown - Porcelain Fused To High Noble Metal
$69 - Brush Biopsy - Transepithelial Sample Collection
$693 - Maxillary Partial Denture - Resin Base (Including Any Conventional Clasps Rests And Teeth)
$693 - Immediate Maxillary Partial Denture ? Resin Base (Including Any Conventional Clasps Rests And Teeth)
$693 - Overdenture ? Partial Maxillary
$693 - Overdenture ? Partial Mandibular
$71 - Amalgam - One Surface Primary Or Permanent
$71 - Recement Implant/Abutment Supported Crown
$71 - Office Visit - After Regularly Scheduled Hours
$714 - Osseous Surgery (Including Flap Entry And Closure) - Four Or More Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant
$72 - Occlusal Adjustment - Limited
$721 - Combined Connective Tissue And Double Pedicle Graft Per Tooth
$73 - Intraoral - Complete Series (Including Bitewings)
$74 - Odontoplasty 1 - 2 Teeth; Includes Removal Of Enamel Projections
$75 - Replace Missing Or Broken Teeth - Complete Denture (Each Tooth)
$767 - Overdenture ? Complete Maxillary
$767 - Overdenture ? Complete Mandibular
$772 - Mandibular Partial Denture - Resin Base (Including Any Conventional Clasps Rests And Teeth)
$772 - Immediate Mandibular Partial Denture ? Resin Base (Including Any Conventional Clasps Rests And Teeth)
$78 - Tissue Conditioning Maxillary
$78 - Tissue Conditioning Mandibular
$780 - Incision And Drainage Of Abscess - Extraoral Soft Tissue
$79 - Replacement Of Semi-Precision Or Precision Attachment (Male Or Female Component) Of Implant/Abutment Supported Prosthesis Per Attachment
$79 - Recement Implant/Abutment Supported Fixed Partial Denture
$79 - Repair Of Orthodontic Appliance
$80 - Periodontal Scaling And Root Planing - One To Three Teeth Per Quadrant
$80 - Scaling And Debridement In The Presence Of Inflammation Or Mucositis Of A Single Implant Including Cleaning Of The Implant Surfaces Without Flap Entry And Closure
$81 - Replace Broken Teeth - Per Tooth
$81 - Recement Fixed Partial Denture
$81 - Exfoliative Cytological Sample Collection
$813 - Retreatment Of Previous Root Canal Therapy - Molar
$819 - Complete Denture - Maxillary
$819 - Complete Denture - Mandibular
$82 - Scaling In Presence Of Generalized Moderate Or Severe Gingival Inflammation ? Full Mouth After Oral Evaluation
$82 - Periodontal Maintenance
$82 - Extraction Erupted Tooth Or Exposed Root (Elevation And/Or Forceps Removal)
$83 - Additional Procedures To Construct New Crown Under Existing Partial Denture Framework
$83 - Full Mouth Debridement To Enable Comprehensive Evaluation And Diagnosis
$84 - Cephalometric Film
$845 - Abutment Supported Crown - (Titanium)
$85 - intravenous moderate (conscious) sedation/analgesia- first 15 minutes
$85 - Intravenous Moderate (Conscious) Sedation/Analgesia ? Each 15 Minute Increment
$857 - Incision And Drainage Of Abscess - Extraoral Soft Tissue - Complicated (Includes Drainage Of Multiple Fascial Spaces)
$86 - Resin-Based Composite - One Surface Anterior
$86 - Reattachment Of Tooth Fragment Incisal Edge Or Cusp
$865 - Maxillary Partial Denture - Flexible Base (Including Any Clasps Rests And Teeth)
$865 - Mandibular Partial Denture - Flexible Base (Including Any Clasps Rests And Teeth)
$876 - Abutment Supported Cast Metal Crown (Predominantly Base Metal)
$885 - Abutment Supported Retainer Crown For Fpd - (Titanium)
$89 - repair broken complete denture base mandibular
$89 - repair broken complete denture base maxillary
$896 - Immediate Denture - Maxillary
$896 - Immediate Denture - Mandibular
$90 - Amalgam - Two Surfaces Primary Or Permanent
$908 - Maxillary Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps Rests And Teeth)
$908 - Mandibular Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps Rests And Teeth)
$908 - Immediate Maxillary Partial Denture ? Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps Rests And Teeth)
$908 - Immediate Mandibular Partial Denture ? Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps Rests And Teeth)
$927 - Abutment Supported Cast Metal Crown (Noble Metal)
$93 - Interim Caries Arresting Medicament Application
$93 - Implant Maintenance Procedures Including Removal Of Prosthesis Cleansing Of Prosthesis And Abutments And Reinsertion Of Prosthesis
$93 - Incision And Drainage Of Abscess - Intraoral Soft Tissue
$95 - Each Additional Prefabricated Post - Same Tooth
$965 - Abutment Supported Retainer For Cast Metal Fpd (Predominantly Base Metal)
$97 - Therapeutic Pulpotomy (Excluding Final Restoration) - Removal Of Pulp Coronal To The Dentinocemental Junction And Application Of Medicament
$97 - repair resin partial denture base mandibular
$97 - repair resin partial denture base maxillary
$98 - Resin-Based Composite - One Surface Posterior
$999 - Implant Supported Metal Crown (Titanium Titanium Alloy High Noble Metal)
140 EAST BOARDWALK DRIVE SUITE G FORT COLLINS CO 80525