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DENTAL PROFESSIONALS OF NEBRASKA, P.C.

 

Dr. NICHOLAS STOKEY - DDS

Speciality - GP

Phone: 4028818069

$102 - Pulpal Therapy (Resorbable Filling) - Posterior Primary Tooth (Excluding Final Restoration)
$104 - Bone Graft In Conjunction With Periradicular Surgery ? Each Additional Contiguous Tooth In The Same Surgical Site
$104 - Bone Replacement Graft - Each Additional Site In Quadrant
$104 - Excision Of Pericoronal Gingiva
$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
$109 - Each Additional Indirectly Fabricated Post - Same Tooth
$110 - Resin-Based Composite - Two Surfaces Posterior
$111 - Repair Or Replace Broken Clasp
$112 - Detailed And Extensive Oral Evaluation - Problem Focused By Report
$112 - Internal Root Repair Of Perforation Defects
$112 - Alveoloplasty In Conjunction With Extractions - One To Three Teeth Or Tooth Spaces Per Quadrant
$113 - Resin-Based Composite - Three Surfaces Anterior
$114 - repair cast partial framework mandibular
$114 - repair cast partial framework maxillary
$117 - Add Clasp To Existing Partial Denture
$118 - Bone Graft At Time Of Implant Placement
$118 - Bone Replacement Graft For Ridge Preservation ? Per Site
$120 - House/Extended Care Facility Call
$1207 - Implant /Abutment Supported Removable Denture For Edentulous Arch ? Maxillary
$1207 - Implant /Abutment Supported Removable Denture For Edentulous Arch ? Mandibular
$1207 - Implant /Abutment Supported Removable Denture For Partially Edentulous Arch ? Maxillary
$1207 - Implant /Abutment Supported Removable Denture For Partially Edentulous Arch ? Mandibular
$123 - Amalgam - Four Or More Surfaces Primary Or Permanent
$125 - Connector Bar
$126 - Gingivectomy Or Gingivoplasty - One To Three Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant
$127 - Retrograde Filling - Per Root
$130 - Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant
$131 - Treatment Of Root Canal Obstruction; Non-Surgical Access
$134 - Resin-Based Composite - Four Or More Surfaces Or Involving Incisal Angle (Anterior)
$134 - Post Removal (Not In Conjunction With Endodontic Therapy)
$135 - Fixed Partial Denture Repair By Report
$137 - Core Buildup Including Any Pins
$137 - Surgical Removal Of Erupted Tooth Requiring Removal Of Bone And/Or Sectioning Of Tooth And Including Elevation Of Mucoperiosteal Flap If Indicated
$139 - Resin-Based Composite - Three Surfaces Posterior
$14 - Intraoral - Periapical First Film
$141 - Prefabricated Stainless Steel Crown - Primary Tooth
$142 - Surgical Removal Of Residual Tooth Roots (Cutting Procedure)
$15 - Bitewing - Single Film
$150 - Reline Maxillary Partial Denture (Chairside)
$150 - Reline Mandibular Partial Denture (Chairside)
$151 - Resin-Based Composite Crown Anterior
$152 - Distal Or Proximal Wedge Procedure (When Not Performed In Conjunction With Surgical Procedures In The Same Anatomical Area)
$156 - Alveoloplasty In Conjunction With Extractions ? Four Or More Teeth Or Tooth Spaces Per Quadrant
$159 - Prefabricated Stainless Steel Crown - Permanent Tooth
$1617 - Surgical Placement Of Implant Body: Endosteal Implant
$1617 - Surgical Placement Of Mini Implant
$162 - Hospital Or Ambulatory Surgical Center Call
$163 - Reline Complete Maxillary Denture (Chairside)
$163 - Reline Complete Mandibular Denture (Chairside)
$165 - Stress Breaker
$168 - Removal Of Impacted Tooth - Soft Tissue
$168 - Incision And Drainage Of Abscess - Intraoral Soft Tissue - Complicated (Includes Drainage Of Multiple Fascial Spaces)
$17 - Local Anesthesia In Conjunction With Operative Or Surgical Procedures
$171 - Resin-Based Composite - Four Or More Surfaces Posterior
$171 - Prefabricated Post And Core In Addition To Crown
$173 - Apicoectomy/Periradicular Surgery (Each Additional Root)
$174 - Surgical Placement: Temporary Anchorage Device Without Surgical Flap
$180 - Space Maintainer - Fixed - Unilateral
$180 - Distal Shoe Space Maintainer ? Fixed ? Unilateral
$19 - Topical Application Of Fluoride
$192 - Alveoloplasty Not In Conjunction With Extractions - One To Three Teeth Or Tooth Spaces Per Quadrant
$193 - Prefabricated Resin Crown
$196 - Bone Graft In Conjunction With Periradicular Surgery ? Per Tooth Single Site
$196 - Bone Replacement Graft - First Site In Quadrant
$196 - 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
$209 - Hemisection (Including Any Root Removal) Not Including Root Canal Therapy
$209 - Surgical Placement: Temporary Anchorage Device Requiring Surgical Flap
$21 - Local Anesthesia Not In Conjunction With Operative Or Surgical Procedures
$210 - Apexification/Recalcification/Pulpal Regeneration ? Initial Visit (Apical Closure/Calcific Repair Of Perforations Root Resorption Pulp Space Disinfection Etc.)
$210 - Pulpal Regeneration - Initial Visit
$210 - Pulpal Regeneration - Completion Of Treatment
$215 - Provisional Splinting - Extracoronal
$215 - Reline Complete Maxillary Denture (Laboratory)
$215 - Reline Complete Mandibular Denture (Laboratory)
$215 - Reline Maxillary Partial Denture (Laboratory)
$215 - Reline Mandibular Partial Denture (Laboratory)
$2153 - Interceptive Orthodontic Treatment Of The Primary Dentition
$2153 - Interceptive Orthodontic Treatment Of The Transitional Dentition
$217 - Post And Core In Addition To Crown Indirectly Fabricated
$22 - Intraoral - Occlusal Film
$220 - Space Maintainer - Removable - Unilateral
$221 - Prefabricated Porcelain/Ceramic Crown ? Primary Tooth
$221 - Prefabricated Stainless Steel Crown With Resin Window
$221 - Prefabricated Esthetic Coated Stainless Steel Crown - Primary Tooth
$224 - Removal Of Impacted Tooth - Partially Bony
$226 - Biopsy Of Oral Tissue - Soft
$229 - Guided Tissue Regeneration - Resorbable Barrier Per Site
$23 - Extra-Oral Posterior Dental Radiographic Image
$23 - Bitewings - Two Films
$23 - Regional Block Anesthesia
$230 - Provisional Crown? Further Treatment Or Completion Of Diagnosis Necessary Prior To Final Impression
$230 - Provisional Implant Crown
$230 - Provisional Retainer Crown
$232 - Gingival Flap Procedure Including Root Planing - One To Three Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant
$232 - Debridement Of A Periimplant Defect And Surface Cleaning Of Exposed Implant Surfaces Including Flap Entry And Closure
$235 - Retainer - Cast Metal For Resin Bonded Fixed Prosthesis
$235 - Resin Retainer ? For Resin Bonded Fixed Prosthesis
$242 - Provisional Splinting - Intracoronal
$243 - Crown - ? Resin-Based Composite (Indirect)
$245 - Provisional Pontic
$247 - space maintainer ? fixed ? bilateral maxillary
$247 - space maintainer ? fixed ? bilateral mandibular
$247 - Surgical Reduction Of Fibrous Tuberosity
$248 - Crown - Resin-Based Composite (Indirect)
$25 - Periodic Oral Evaluation - Established Patient
$252 - Alveoloplasty Not In Conjunction With Extractions ?four Or More Teeth Or Tooth Spaces Per Quadrant
$26 - Pulp Vitality Tests
$26 - Nutritional Counseling For Control Of Dental Disease
$261 - Root Amputation - Per Root
$261 - Tooth Reimplantation And/Or Stabilization Of Accidentally Evulsed Or Displaced Tooth
$263 - Interim Partial Denture (Maxillary)
$263 - Removal Of Impacted Tooth - Completely Bony
$263 - Coronectomy ? Intentional Partial Tooth Removal
$263 - Harvest Of Bone For Use In Autogenous Grafting Procedure
$27 - Extraoral - First Film
$274 - Rebase Maxillary Partial Denture
$274 - Rebase Mandibular Partial Denture
$274 - Internal Bleaching - Per Tooth
$275 - Apically Positioned Flap
$277 - Rebase Complete Mandibular Denture
$278 - Interim Partial Denture (Mandibular)
$28 - Oral Evaluation For A Patient Under Three Years Of Age And Counseling With Primary Caregiver
$28 - Bitewings - Three Films
$28 - Topical Fluoride Varnish; Therapeutic Application For Moderate To High Caries Risk Patients
$28 - Tobacco Counseling For The Control And Prevention Of Oral Disease
$28 - Sealant - Per Tooth
$28 - Preventive Resin Restoration In A Moderate To High Caries Risk Patient ? Permanent Tooth
$28 - Sealant Repair ? Per Tooth
$281 - Retainer - Porcelain/Ceramic For Resin Bonded Fixed Prosthesis
$283 - Surgical Access Of An Unerupted Tooth
$289 - Rebase Complete Maxillary Denture
$289 - Orthodontic Retention (Removal Of Appliances Construction And Placement Of Retainer(S))
$29 - Re-Evaluation - Limited Problem Focused (Established Patient; Not Post-Operative Visit)
$29 - Pin Retention - Per Tooth In Addition To Restoration
$29 - Inhalation Of Nitrous Oxide / Anxiolysis Analgesia
$294 - Incomplete Endodontic Therapy; Inoperable Unrestorable Or Fractured Tooth
$294 - Guided Tissue Regeneration - Nonresorbable Barrier Per Site (Includes Membrane Removal)
$299 - Frenulectomy ? Also Known As Frenectomy Or Frenotomy ? Separate Procedure Not Incidental To Another Procedure
$30 - Pulp Cap - Indirect (Excluding Final Restoration)
$308 - space maintainer ? removable ? bilateral maxillary
$308 - space maintainer ? removable ? bilateral mandibular
$31 - Therapeutic Parenteral Drug Single Administration
$310 - Apexification/Recalcification - Final Visit (Includes Completed Root Canal Therapy - Apical Closure/Calcific Repair Of Perforations Root Resorption Etc.)
$313 - Excision Of Hyperplastic Tissue - Per Arch
$317 - Precision Attachment
$33 - Bitewings - Four Films
$331 - Removal Of Impacted Tooth - Completely Bony With Unusual Surgical Complications
$331 - Frenuloplasty
$334 - Surgical Placement: Temporary Anchorage Device [screw Retained Plate] Requiring Surgical Flap
$336 - Prefabricated Abutment - Includes Placement
$34 - Oral/Facial Photographic Images
$34 - Prophylaxis - Child
$340 - Gingivectomy Or Gingivoplasty - Four Or More Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant
$345 - Interim Complete Denture (Maxillary)
$35 - Oral Hygiene Instructions
$350 - External Bleaching - Per Arch
$359 - Onlay - Resin-Based Composite - Two Surfaces
$36 - Limited Oral Evaluation - Problem Focused
$36 - Pre-Orthodontic Treatment Visit
$36 - Evaluation For Deep Sedation Or General Anesthesia
$36 - Office Visit For Observation (During Regularly Scheduled Hours) - No Other Services Performed
$361 - Inlay - Resin-Based Composite - One Surface
$361 - occlusal guard ? hard appliance full arch
$361 - occlusal guard ? soft appliance full arch
$361 - occlusal guard ? hard appliance partial arch
$368 - Interim Complete Denture (Mandibular)
$372 - Occlusal Adjustment - Complete
$38 - Comprehensive Oral Evaluation - New Or Established Patient
$380 - Endodontic Therapy Anterior Tooth (Excluding Final Restoration)
$381 - Osseous Surgery (Including Flap Entry And Closure) - One To Three Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant
$381 - Debridement And Osseous Contouring Of A Periimplant Defect; Includes Surface Cleaning Of Exposed Implant Surfaces And Flap Entry And Closure
$389 - Occlusal Orthotic Device By Report
$39 - Re-Cementation Of Space Maintainer
$39 - Pulp Cap - Direct (Excluding Final Restoration)
$39 - Adjust Complete Denture - Maxillary
$39 - Adjust Complete Denture - Mandibular
$39 - Adjust Partial Denture - Maxillary
$39 - Adjust Partial Denture - Mandibular
$39 - Occlusal Orthotic Device Adjustment
$39 - Removable Orthodontic Retainer Adjustment
$39 - Occlusal Guard Adjustment
$391 - Gingival Flap Procedure Including Root Planing - Four Or More Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant
$391 - Replace All Teeth And Acrylic On Cast Metal Framework (Maxillary)
$391 - Replace All Teeth And Acrylic On Cast Metal Framework (Mandibular)
$410 - Clinical Crown Lengthening - Hard Tissue
$410 - Removable Appliance Therapy
$410 - Fixed Appliance Therapy
$413 - Sinus Augmentation Via A Vertical Approach
$415 - Semi-Precision Attachment Abutment
$415 - Custom Abutment - Includes Placement
$419 - Labial Veneer (Resin Laminate) - Chairside
$420 - Apicoectomy/Periradicular Surgery - Anterior
$420 - Periradicular Surgery Without Apicoectomy
$422 - Inlay - Resin-Based Composite - Two Surfaces
$422 - Onlay - Resin-Based Composite - Three Surfaces
$424 - Inlay - Metallic - One Surface
$4307 - Comprehensive Orthodontic Treatment Of The Transitional Dentition
$4307 - Comprehensive Orthodontic Treatment Of The Adolescent Dentition
$4307 - Comprehensive Orthodontic Treatment Of The Adult Dentition
$45 - Comprehensive Periodontal Evaluation - New Or Established Patient
$452 - Onlay - Resin-Based Composite - Four Or More Surfaces
$453 - Inlay - Resin-Based Composite - Three Or More Surfaces
$46 - Therapeutic Parenteral Drugs Two Or More Administrations Different Medications
$460 - removable unilateral partial denture ? one piece cast metal (including clasps and teeth) maxillary
$460 - removable unilateral partial denture ? one piece cast metal (including clasps and teeth) mandibular
$462 - Inlay - Cast Predominantly Base Metal Two Surfaces
$462 - Inlay - Cast Noble Metal Two Surfaces
$464 - Pedicle Soft Tissue Graft Procedure
$464 - Free Soft Tissue Graft Procedure (Including Donor Site Surgery) First Tooth Or Edentulous Tooth Position In Graft
$464 - Free Soft Tissue Graft Procedure (Including Donor Site Surgery) Each Additional Contiguous Tooth Or Edentulous Tooth Position In Same Graft Site
$465 - Labial Veneer (Resin Laminate) - Laboratory
$466 - Endodontic Therapy Bicuspid Tooth (Excluding Final Restoration)
$47 - Prophylaxis - Adult
$47 - Palliative (Emergency) Treatment Of Dental Pain - Minor Procedure
$47 - Cleaning And Inspection Of Removable Complete Denture Maxillary
$47 - Cleaning And Inspection Of Removable Complete Denture Mandibular
$47 - Cleaning And Inspection Of Removable Partial Denture Maxillary
$47 - Cleaning And Inspection Of Removable Partial Denture Mandibular
$470 - Inlay - Cast High Noble Metal Two Surfaces
$473 - Apicoectomy/Periradicular Surgery - Bicuspid (First Root)
$478 - Inlay - Metallic - Two Surfaces
$484 - Inlay - Porcelain/Ceramic Two Surfaces
$486 - Connecting Bar ? Implant Supported Or Abutment Supported
$49 - Removal Of Fixed Space Maintainer
$50 - Vertical Bitewings - 7 To 8 Films
$50 - remove broken implant retaining screw
$501 - Inlay - Titanium
$502 - Inlay - Porcelain/Ceramic - One Surface
$504 - Onlay -Porcelain/Ceramic Two Surfaces
$504 - Removal Of Lateral Exostosis (Maxilla Or Mandible)
$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
$506 - Labial Veneer (Porcelain Laminate) - Laboratory
$507 - Retreatment Of Previous Root Canal Therapy - Anterior
$51 - Recement Inlay Onlay Or Partial Coverage Restoration
$51 - Recement Cast Or Prefabricated Post And Core
$51 - Non-Intravenous Conscious Sedation
$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
$515 - Inlay - Porcelain/Ceramic Three Or More Surfaces
$515 - Inlay - Cast Predominantly Base Metal Three Or More Surfaces
$517 - Onlay - Cast Predominantly Base Metal Two Surfaces
$517 - Surgical Reduction Of Osseous Tuberosity
$52 - Recement Crown
$520 - Biopsy Of Oral Tissue - Hard (Bone Tooth)
$521 - Subepithelial Connective Tissue Graft Procedures Per Tooth
$521 - Autogenous Connective Tissue Graft Procedure (Including Donor And Recipient Surgical Sites) ? Each Additional Contiguous Tooth Implant Or Edentulous Tooth Position In Same Graft Site
$526 - Onlay - Titanium
$528 - Onlay - Cast Noble Metal Two Surfaces
$53 - Extraction Coronal Remnants - Deciduous Tooth
$530 - Inlay - Porcelain/Ceramic - Two Surfaces
$531 - Onlay - Cast High Noble Metal Two Surfaces
$532 - Onlay - Porcelain/Ceramic Three Or More Surfaces
$536 - Apicoectomy/Periradicular Surgery - Molar (First Root)
$536 - Inlay - Cast High Noble Metal Three Or More Surfaces
$536 - Inlay - Cast Noble Metal Three Or More Surfaces
$537 - Pontic - Porcelain Fused To Predominantly Base Metal
$537 - Crown - Indirect Resin Based Composite
$54 - Protective Restoration
$54 - Interim Therapeutic Restoration ? Primary Dentition
$54 - Fixed Partial Denture Sectioning
$543 - Onlay - Metallic-Two Surfaces
$543 - Onlay - Porcelain/Ceramic - Two Surfaces
$546 - Onlay - Cast Predominantly Base Metal Three Or More Surfaces
$546 - Onlay - Cast Noble Metal Three Or More Surfaces
$55 - Diagnostic Casts
$552 - Pontic - Cast Predominantly Base Metal
$553 - Crown - 3/4 Cast Predominantly Base Metal
$555 - Inlay - Metallic - Three Or More Surfaces
$556 - Pontic - Indirect Resin Based Composite
$56 - Enamel Microabrasion
$56 - External Bleaching - Per Tooth
$565 - Inlay - Porcelain/Ceramic - Three Or More Surfaces
$565 - Pontic - Porcelain Fused To Noble Metal
$571 - Crown - 3/4 Cast Noble Metal
$572 - Onlay - Metallic-Three Surfaces
$574 - Pontic - Cast Noble Metal
$578 - Onlay - Cast High Noble Metal Three Or More Surfaces
$578 - Crown - Porcelain Fused To Predominantly Base Metal
$578 - Crown - Full Cast Predominantly Base Metal
$580 - Removal Of Torus Mandibularis
$582 - Pontic - Porcelain Fused To High Noble Metal
$587 - Pontic - Cast High Noble Metal
$588 - Crown - 3/4 Cast High Noble Metal
$588 - Crown - Full Cast Noble Metal
$588 - Endodontic Therapy Molar (Excluding Final Restoration)
$592 - Onlay - Porcelain/Ceramic - Three Surfaces
$593 - Pontic - Titanium
$595 - Onlay - Metallic-Four Or More Surfaces
$596 - Retreatment Of Previous Root Canal Therapy - Bicuspid
$597 - Pediatric Partial Denture Fixed
$599 - Maxillary Partial Denture - Resin Base (Including Any Conventional Clasps Rests And Teeth)
$599 - Immediate Maxillary Partial Denture ? Resin Base (Including Any Conventional Clasps Rests And Teeth)
$599 - Pontic - Porcelain/Ceramic
$599 - Crown - Porcelain Fused To Noble Metal
$599 - Crown - Full Cast High Noble Metal
$608 - Crown - Titanium
$61 - Recement Implant/Abutment Supported Crown
$614 - Removal Of Torus Palatinus
$618 - Combined Connective Tissue And Double Pedicle Graft Per Tooth
$620 - Crown - 3/4 Porcelain/Ceramic
$620 - Osseous Surgery (Including Flap Entry And Closure) - Four Or More Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant
$620 - Crown - Porcelain Fused To High Noble Metal
$628 - Onlay - Porcelain/Ceramic - Four Or More Surfaces
$63 - Panoramic Film
$63 - Localized Delivery Of Antimicrobial Agents Via A Controlled Release Vehicle Into Diseased Crevicular Tissue Per Tooth By Report
$630 - Crown - Porcelain/Ceramic Substrate
$630 - Crown - Porcelain/Ceramic
$64 - Amalgam - One Surface Primary Or Permanent
$65 - Replace Missing Or Broken Teeth - Complete Denture (Each Tooth)
$66 - Office Visit - After Regularly Scheduled Hours
$66 - Occlusal Adjustment - Limited
$67 - Replacement Of Semi-Precision Or Precision Attachment (Male Or Female Component) Of Implant/Abutment Supported Prosthesis Per Attachment
$67 - Recement Implant/Abutment Supported Fixed Partial Denture
$68 - Additional Procedures To Construct New Crown Under Existing Partial Denture Framework
$68 - Tissue Conditioning Maxillary
$68 - Tissue Conditioning Mandibular
$683 - Mandibular Partial Denture - Resin Base (Including Any Conventional Clasps Rests And Teeth)
$683 - Immediate Mandibular Partial Denture ? Resin Base (Including Any Conventional Clasps Rests And Teeth)
$683 - Overdenture ? Partial Maxillary
$683 - Overdenture ? Partial Mandibular
$69 - Brush Biopsy - Transepithelial Sample Collection
$69 - Repair Of Orthodontic Appliance
$693 - Overdenture ? Complete Maxillary
$693 - Overdenture ? Complete Mandibular
$70 - Replace Broken Teeth - Per Tooth
$712 - Incision And Drainage Of Abscess - Extraoral Soft Tissue
$714 - Complete Denture - Maxillary
$714 - Complete Denture - Mandibular
$72 - Intraoral - Complete Series (Including Bitewings)
$73 - Resin-Based Composite - One Surface Anterior
$73 - Reattachment Of Tooth Fragment Incisal Edge Or Cusp
$73 - Periodontal Scaling And Root Planing - One To Three Teeth Per Quadrant
$73 - 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
$73 - Extraction Erupted Tooth Or Exposed Root (Elevation And/Or Forceps Removal)
$73 - Exfoliative Cytological Sample Collection
$737 - Retreatment Of Previous Root Canal Therapy - Molar
$74 - Odontoplasty 1 - 2 Teeth; Includes Removal Of Enamel Projections
$75 - Recement Fixed Partial Denture
$751 - Abutment Supported Retainer Crown For Fpd - (Titanium)
$76 - Scaling In Presence Of Generalized Moderate Or Severe Gingival Inflammation ? Full Mouth After Oral Evaluation
$76 - Periodontal Maintenance
$76 - intravenous moderate (conscious) sedation/analgesia- first 15 minutes
$76 - Intravenous Moderate (Conscious) Sedation/Analgesia ? Each 15 Minute Increment
$762 - Abutment Supported Crown - (Titanium)
$767 - Immediate Denture - Maxillary
$767 - Immediate Denture - Mandibular
$777 - Maxillary Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps Rests And Teeth)
$777 - Mandibular Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps Rests And Teeth)
$777 - Immediate Maxillary Partial Denture ? Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps Rests And Teeth)
$777 - Immediate Mandibular Partial Denture ? Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps Rests And Teeth)
$78 - Cephalometric Film
$78 - Full Mouth Debridement To Enable Comprehensive Evaluation And Diagnosis
$78 - repair broken complete denture base mandibular
$78 - repair broken complete denture base maxillary
$783 - Incision And Drainage Of Abscess - Extraoral Soft Tissue - Complicated (Includes Drainage Of Multiple Fascial Spaces)
$793 - Abutment Supported Cast Metal Crown (Predominantly Base Metal)
$803 - Maxillary Partial Denture - Flexible Base (Including Any Clasps Rests And Teeth)
$803 - Mandibular Partial Denture - Flexible Base (Including Any Clasps Rests And Teeth)
$81 - Amalgam - Two Surfaces Primary Or Permanent
$819 - Abutment Supported Retainer For Cast Metal Fpd (Predominantly Base Metal)
$82 - Interim Caries Arresting Medicament Application
$82 - Implant Maintenance Procedures Including Removal Of Prosthesis Cleansing Of Prosthesis And Abutments And Reinsertion Of Prosthesis
$845 - Abutment Supported Cast Metal Crown (Noble Metal)
$85 - Resin-Based Composite - One Surface Posterior
$85 - repair resin partial denture base mandibular
$85 - repair resin partial denture base maxillary
$865 - Implant Supported Retainer For Cast Metal Fpd (Titanium Titanium Alloy Or High Noble Metal)
$868 - Abutment Supported Retainer For Porcelain Fused To Metal Fpd (Predominantly Base Metal)
$87 - Each Additional Prefabricated Post - Same Tooth
$870 - Abutment Supported Retainer For Cast Metal Fpd (Noble Metal)
$88 - Therapeutic Pulpotomy (Excluding Final Restoration) - Removal Of Pulp Coronal To The Dentinocemental Junction And Application Of Medicament
$88 - Incision And Drainage Of Abscess - Intraoral Soft Tissue
$886 - Abutment Supported Retainer For Porcelain Fused To Metal Fpd (Noble Metal)
$892 - Implant Supported Retainer For Porcelain Fused To Metal Fpd (Titanium Titanium Alloy Or High Noble Metal)
$896 - Abutment Supported Retainer For Cast Metal Fpd (High Noble Metal)
$9 - Intraoral - Periapical Each Additional Film
$906 - Abutment Supported Porcelain Fused To Metal Crown (Predominantly Base Metal)
$906 - Implant Supported Metal Crown (Titanium Titanium Alloy High Noble Metal)
$91 - Apexification/Recalcification/Pulpal Regeneration - Interim Medication Replacement (Apical Closure/Calcific Repair Of Perforations Root Resorption Pulp Space Disinfection Etc.)
$91 - Pulpal Regeneration - Interim Medication Replacement
$916 - Implant Supported Retainer For Ceramic Fpd
$918 - Abutment Supported Retainer For Porcelain Fused To Metal Fpd (High Noble Metal)
$923 - Abutment Supported Retainer For Porcelain/Ceramic Fpd
$927 - Abutment Supported Porcelain Fused To Metal Crown (Noble Metal)
$927 - Abutment Supported Cast Metal Crown (High Noble Metal)
$93 - Resin-Based Composite - Two Surfaces Anterior
$937 - Implant Supported Porcelain Fused To Metal Crown (Titanium Titanium Alloy High Noble Metal)
$94 - Pulpal Therapy (Resorbable Filling) - Anterior Primary Tooth (Excluding Final Restoration)
$95 - Add Tooth To Existing Partial Denture
$958 - Implant Supported Porcelain/Ceramic Crown
$96 - Interpretation Of Diagnostic Image By A Practitioner Not Associated With Capture Of The Image Including Report
$96 - Consultation - Diagnostic Service Provided By Dentist Or Physician Other Than Requesting Dentist Or Physician
$979 - Abutment Supported Porcelain/Ceramic Crown
$979 - Abutment Supported Porcelain Fused To Metal Crown (High Noble Metal)
$98 - Pulpal Debridement Primary And Permanent Teeth
$98 - deep sedation/general anesthesia ? first 15 minutes
$98 - Deep Sedation/General Anesthesia ? Each 15 Minute Increment
$98 - Repair And/Or Reline Of Occlusal Guard
$99 - Amalgam - Three Surfaces Primary Or Permanent
3615 SUMMIT PLAZA DRIVE BELLEVUE NE 68123