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SMILECARE

 

Dr. BEHNAZ NONAHAL - DDS

Speciality - GP

Phone: 6192604990

$1036 - Incision And Drainage Of Abscess - Extraoral Soft Tissue - Complicated (Includes Drainage Of Multiple Fascial Spaces)
$1040 - Abutment Supported Cast Metal Crown (Predominantly Base Metal)
$1057 - Abutment Supported Retainer Crown For Fpd - (Titanium)
$1058 - Immediate Denture - Maxillary
$1058 - Immediate Denture - Mandibular
$106 - Full Mouth Debridement To Enable Comprehensive Evaluation And Diagnosis
$106 - repair broken complete denture base mandibular
$106 - repair broken complete denture base maxillary
$106 - Extraction Erupted Tooth Or Exposed Root (Elevation And/Or Forceps Removal)
$106 - intravenous moderate (conscious) sedation/analgesia- first 15 minutes
$106 - Intravenous Moderate (Conscious) Sedation/Analgesia ? Each 15 Minute Increment
$107 - Resin-Based Composite - One Surface Anterior
$107 - Reattachment Of Tooth Fragment Incisal Edge Or Cusp
$1071 - Maxillary Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps Rests And Teeth)
$1071 - Mandibular Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps Rests And Teeth)
$1071 - Immediate Maxillary Partial Denture ? Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps Rests And Teeth)
$1071 - Immediate Mandibular Partial Denture ? Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps Rests And Teeth)
$1102 - Abutment Supported Cast Metal Crown (Noble Metal)
$112 - Each Additional Prefabricated Post - Same Tooth
$112 - Incision And Drainage Of Abscess - Intraoral Soft Tissue
$113 - Interim Caries Arresting Medicament Application
$113 - Implant Maintenance Procedures Including Removal Of Prosthesis Cleansing Of Prosthesis And Abutments And Reinsertion Of Prosthesis
$115 - Crown Repair By Report
$115 - Inlay Repair Necessitated By Restorative Material Failure
$115 - Onlay Repair Necessitated By Restorative Material Failure
$115 - Veneer Repair Necessitated By Restorative Material Failure
$115 - repair resin partial denture base mandibular
$115 - repair resin partial denture base maxillary
$115 - Repair Implant Supported Prosthesis By Report
$1152 - Abutment Supported Retainer For Cast Metal Fpd (Predominantly Base Metal)
$116 - Amalgam - Two Surfaces Primary Or Permanent
$119 - Therapeutic Pulpotomy (Excluding Final Restoration) - Removal Of Pulp Coronal To The Dentinocemental Junction And Application Of Medicament
$1195 - Abutment Supported Porcelain Fused To Metal Crown (Predominantly Base Metal)
$1195 - Implant Supported Metal Crown (Titanium Titanium Alloy High Noble Metal)
$120 - Interpretation Of Diagnostic Image By A Practitioner Not Associated With Capture Of The Image Including Report
$120 - Resin-Based Composite - One Surface Posterior
$120 - Consultation - Diagnostic Service Provided By Dentist Or Physician Other Than Requesting Dentist Or Physician
$1215 - Abutment Supported Porcelain Fused To Metal Crown (Noble Metal)
$1215 - Abutment Supported Cast Metal Crown (High Noble Metal)
$1218 - Implant Supported Retainer For Cast Metal Fpd (Titanium Titanium Alloy Or High Noble Metal)
$1222 - Abutment Supported Retainer For Porcelain Fused To Metal Fpd (Predominantly Base Metal)
$1224 - Abutment Supported Retainer For Cast Metal Fpd (Noble Metal)
$1226 - Implant Supported Porcelain Fused To Metal Crown (Titanium Titanium Alloy High Noble Metal)
$124 - repair cast partial framework mandibular
$124 - repair cast partial framework maxillary
$1247 - Abutment Supported Retainer For Porcelain Fused To Metal Fpd (Noble Metal)
$125 - Apexification/Recalcification/Pulpal Regeneration - Interim Medication Replacement (Apical Closure/Calcific Repair Of Perforations Root Resorption Pulp Space Disinfection Etc.)
$125 - Pulpal Regeneration - Interim Medication Replacement
$1255 - Implant Supported Retainer For Porcelain Fused To Metal Fpd (Titanium Titanium Alloy Or High Noble Metal)
$1257 - Implant Supported Porcelain/Ceramic Crown
$126 - Pulpal Therapy (Resorbable Filling) - Anterior Primary Tooth (Excluding Final Restoration)
$1262 - Abutment Supported Retainer For Cast Metal Fpd (High Noble Metal)
$1267 - Abutment Supported Porcelain Fused To Metal Crown (High Noble Metal)
$127 - deep sedation/general anesthesia ? first 15 minutes
$127 - Deep Sedation/General Anesthesia ? Each 15 Minute Increment
$1277 - Abutment Supported Porcelain/Ceramic Crown
$1289 - Implant Supported Retainer For Ceramic Fpd
$1293 - Abutment Supported Retainer For Porcelain Fused To Metal Fpd (High Noble Metal)
$1299 - Abutment Supported Retainer For Porcelain/Ceramic Fpd
$131 - Pulpal Debridement Primary And Permanent Teeth
$132 - Resin-Based Composite - Two Surfaces Anterior
$133 - Add Tooth To Existing Partial Denture
$138 - Detailed And Extensive Oral Evaluation - Problem Focused By Report
$138 - Excision Of Pericoronal Gingiva
$139 - Repair And/Or Reline Of Occlusal Guard
$14 - Intraoral - Periapical Each Additional Film
$140 - Pulpal Therapy (Resorbable Filling) - Posterior Primary Tooth (Excluding Final Restoration)
$141 - Each Additional Indirectly Fabricated Post - Same Tooth
$142 - Amalgam - Three Surfaces Primary Or Permanent
$149 - Bone Graft In Conjunction With Periradicular Surgery ? Each Additional Contiguous Tooth In The Same Surgical Site
$149 - Bone Replacement Graft - Each Additional Site In Quadrant
$150 - Repair Or Replace Broken Clasp
$155 - Gingivectomy Or Gingivoplasty - One To Three Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant
$156 - Alveoloplasty In Conjunction With Extractions - One To Three Teeth Or Tooth Spaces Per Quadrant
$157 - Bone Graft At Time Of Implant Placement
$157 - Fixed Partial Denture Repair By Report
$157 - Bone Replacement Graft For Ridge Preservation ? Per Site
$158 - Resin-Based Composite - Two Surfaces Posterior
$159 - Resin-Based Composite - Three Surfaces Anterior
$159 - Internal Root Repair Of Perforation Defects
$160 - House/Extended Care Facility Call
$161 - Connector Bar
$165 - Add Clasp To Existing Partial Denture
$166 - Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant
$1699 - Implant /Abutment Supported Removable Denture For Edentulous Arch ? Maxillary
$1699 - Implant /Abutment Supported Removable Denture For Edentulous Arch ? Mandibular
$1699 - Implant /Abutment Supported Removable Denture For Partially Edentulous Arch ? Maxillary
$1699 - Implant /Abutment Supported Removable Denture For Partially Edentulous Arch ? Mandibular
$172 - Amalgam - Four Or More Surfaces Primary Or Permanent
$173 - Post Removal (Not In Conjunction With Endodontic Therapy)
$174 - Retrograde Filling - Per Root
$176 - Core Buildup Including Any Pins
$179 - Surgical Removal Of Erupted Tooth Requiring Removal Of Bone And/Or Sectioning Of Tooth And Including Elevation Of Mucoperiosteal Flap If Indicated
$182 - Treatment Of Root Canal Obstruction; Non-Surgical Access
$187 - Prefabricated Stainless Steel Crown - Primary Tooth
$19 - Intraoral - Periapical First Film
$190 - Resin-Based Composite - Four Or More Surfaces Or Involving Incisal Angle (Anterior)
$192 - Surgical Removal Of Residual Tooth Roots (Cutting Procedure)
$196 - Resin-Based Composite - Three Surfaces Posterior
$20 - Bitewing - Single Film
$204 - Reline Maxillary Partial Denture (Chairside)
$204 - Reline Mandibular Partial Denture (Chairside)
$210 - Hospital Or Ambulatory Surgical Center Call
$211 - Resin-Based Composite Crown Anterior
$211 - Prefabricated Stainless Steel Crown - Permanent Tooth
$213 - Stress Breaker
$2153 - Interceptive Orthodontic Treatment Of The Primary Dentition
$2153 - Interceptive Orthodontic Treatment Of The Transitional Dentition
$216 - Alveoloplasty In Conjunction With Extractions ? Four Or More Teeth Or Tooth Spaces Per Quadrant
$217 - Incision And Drainage Of Abscess - Intraoral Soft Tissue - Complicated (Includes Drainage Of Multiple Fascial Spaces)
$22 - Local Anesthesia In Conjunction With Operative Or Surgical Procedures
$221 - Reline Complete Maxillary Denture (Chairside)
$221 - Reline Complete Mandibular Denture (Chairside)
$222 - Prefabricated Post And Core In Addition To Crown
$223 - Distal Or Proximal Wedge Procedure (When Not Performed In Conjunction With Surgical Procedures In The Same Anatomical Area)
$224 - Removal Of Impacted Tooth - Soft Tissue
$2276 - Surgical Placement Of Implant Body: Endosteal Implant
$2276 - Surgical Placement Of Mini Implant
$230 - Surgical Placement: Temporary Anchorage Device Without Surgical Flap
$237 - Apicoectomy/Periradicular Surgery (Each Additional Root)
$240 - Resin-Based Composite - Four Or More Surfaces Posterior
$247 - Provisional Crown? Further Treatment Or Completion Of Diagnosis Necessary Prior To Final Impression
$247 - Provisional Implant Crown
$247 - Provisional Retainer Crown
$25 - Topical Application Of Fluoride
$252 - Space Maintainer - Fixed - Unilateral
$252 - Distal Shoe Space Maintainer ? Fixed ? Unilateral
$261 - Prefabricated Resin Crown
$261 - Provisional Pontic
$263 - Alveoloplasty Not In Conjunction With Extractions - One To Three Teeth Or Tooth Spaces Per Quadrant
$268 - Provisional Splinting - Extracoronal
$27 - Intraoral - Occlusal Film
$27 - Local Anesthesia Not In Conjunction With Operative Or Surgical Procedures
$274 - Internal Bleaching - Per Tooth
$276 - Hemisection (Including Any Root Removal) Not Including Root Canal Therapy
$276 - Surgical Placement: Temporary Anchorage Device Requiring Surgical Flap
$281 - Post And Core In Addition To Crown Indirectly Fabricated
$285 - Apexification/Recalcification/Pulpal Regeneration ? Initial Visit (Apical Closure/Calcific Repair Of Perforations Root Resorption Pulp Space Disinfection Etc.)
$285 - Pulpal Regeneration - Initial Visit
$285 - Pulpal Regeneration - Completion Of Treatment
$29 - Extra-Oral Posterior Dental Radiographic Image
$29 - Bitewings - Two Films
$292 - Reline Maxillary Partial Denture (Laboratory)
$292 - Reline Mandibular Partial Denture (Laboratory)
$294 - Bone Graft In Conjunction With Periradicular Surgery ? Per Tooth Single Site
$294 - Bone Replacement Graft - First Site In Quadrant
$294 - Reline Complete Maxillary Denture (Laboratory)
$294 - Reline Complete Mandibular Denture (Laboratory)
$294 - 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
$295 - Retainer - Cast Metal For Resin Bonded Fixed Prosthesis
$295 - Resin Retainer ? For Resin Bonded Fixed Prosthesis
$299 - Space Maintainer - Removable - Unilateral
$299 - Prefabricated Porcelain/Ceramic Crown ? Primary Tooth
$299 - Prefabricated Stainless Steel Crown With Resin Window
$299 - Prefabricated Esthetic Coated Stainless Steel Crown - Primary Tooth
$30 - Regional Block Anesthesia
$301 - Removal Of Impacted Tooth - Partially Bony
$307 - Provisional Splinting - Intracoronal
$31 - Periodic Oral Evaluation - Established Patient
$31 - Therapeutic Parenteral Drug Single Administration
$313 - Crown - Resin-Based Composite (Indirect)
$313 - Crown - ? Resin-Based Composite (Indirect)
$317 - Biopsy Of Oral Tissue - Soft
$319 - Gingival Flap Procedure Including Root Planing - One To Three Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant
$319 - Debridement Of A Periimplant Defect And Surface Cleaning Of Exposed Implant Surfaces Including Flap Entry And Closure
$32 - Nutritional Counseling For Control Of Dental Disease
$323 - Surgical Reduction Of Fibrous Tuberosity
$330 - Guided Tissue Regeneration - Resorbable Barrier Per Site
$331 - space maintainer ? fixed ? bilateral maxillary
$331 - space maintainer ? fixed ? bilateral mandibular
$345 - Tooth Reimplantation And/Or Stabilization Of Accidentally Evulsed Or Displaced Tooth
$348 - Removal Of Impacted Tooth - Completely Bony
$348 - Coronectomy ? Intentional Partial Tooth Removal
$348 - Harvest Of Bone For Use In Autogenous Grafting Procedure
$35 - Tobacco Counseling For The Control And Prevention Of Oral Disease
$350 - External Bleaching - Per Arch
$353 - Root Amputation - Per Root
$36 - Oral Evaluation For A Patient Under Three Years Of Age And Counseling With Primary Caregiver
$36 - Extraoral - First Film
$36 - Bitewings - Three Films
$361 - Retainer - Porcelain/Ceramic For Resin Bonded Fixed Prosthesis
$363 - Interim Partial Denture (Maxillary)
$368 - Orthodontic Retention (Removal Of Appliances Construction And Placement Of Retainer(S))
$372 - Rebase Maxillary Partial Denture
$372 - Rebase Mandibular Partial Denture
$376 - Rebase Complete Mandibular Denture
$38 - Pulp Vitality Tests
$38 - Topical Fluoride Varnish; Therapeutic Application For Moderate To High Caries Risk Patients
$382 - Apically Positioned Flap
$385 - Interim Partial Denture (Mandibular)
$39 - Sealant - Per Tooth
$39 - Preventive Resin Restoration In A Moderate To High Caries Risk Patient ? Permanent Tooth
$39 - Sealant Repair ? Per Tooth
$391 - Surgical Access Of An Unerupted Tooth
$391 - Frenulectomy ? Also Known As Frenectomy Or Frenotomy ? Separate Procedure Not Incidental To Another Procedure
$40 - Bitewings - Four Films
$40 - Pin Retention - Per Tooth In Addition To Restoration
$40 - Inhalation Of Nitrous Oxide / Anxiolysis Analgesia
$402 - Alveoloplasty Not In Conjunction With Extractions ?four Or More Teeth Or Tooth Spaces Per Quadrant
$409 - Guided Tissue Regeneration - Nonresorbable Barrier Per Site (Includes Membrane Removal)
$41 - Re-Evaluation - Limited Problem Focused (Established Patient; Not Post-Operative Visit)
$410 - Precision Attachment
$410 - Removable Appliance Therapy
$410 - Fixed Appliance Therapy
$412 - Rebase Complete Maxillary Denture
$42 - Oral/Facial Photographic Images
$421 - Apexification/Recalcification - Final Visit (Includes Completed Root Canal Therapy - Apical Closure/Calcific Repair Of Perforations Root Resorption Etc.)
$429 - space maintainer ? removable ? bilateral maxillary
$429 - space maintainer ? removable ? bilateral mandibular
$43 - Pulp Cap - Indirect (Excluding Final Restoration)
$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 - Incomplete Endodontic Therapy; Inoperable Unrestorable Or Fractured Tooth
$44 - Oral Hygiene Instructions
$442 - Surgical Placement: Temporary Anchorage Device [screw Retained Plate] Requiring Surgical Flap
$443 - Excision Of Hyperplastic Tissue - Per Arch
$444 - Removal Of Impacted Tooth - Completely Bony With Unusual Surgical Complications
$452 - Frenuloplasty
$46 - Therapeutic Parenteral Drugs Two Or More Administrations Different Medications
$462 - Osseous Surgery (Including Flap Entry And Closure) - One To Three Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant
$462 - Debridement And Osseous Contouring Of A Periimplant Defect; Includes Surface Cleaning Of Exposed Implant Surfaces And Flap Entry And Closure
$464 - Gingivectomy Or Gingivoplasty - Four Or More Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant
$469 - Interim Complete Denture (Maxillary)
$47 - Limited Oral Evaluation - Problem Focused
$47 - Pre-Orthodontic Treatment Visit
$47 - Evaluation For Deep Sedation Or General Anesthesia
$472 - Prefabricated Abutment - Includes Placement
$48 - Prophylaxis - Child
$493 - Occlusal Adjustment - Complete
$494 - Inlay - Resin-Based Composite - One Surface
$494 - Onlay - Resin-Based Composite - Two Surfaces
$494 - Replace All Teeth And Acrylic On Cast Metal Framework (Maxillary)
$494 - Replace All Teeth And Acrylic On Cast Metal Framework (Mandibular)
$50 - remove broken implant retaining screw
$503 - Endodontic Therapy Anterior Tooth (Excluding Final Restoration)
$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 - Interim Complete Denture (Mandibular)
$505 - occlusal guard ? hard appliance full arch
$505 - occlusal guard ? soft appliance full arch
$505 - occlusal guard ? hard appliance partial arch
$518 - Gingival Flap Procedure Including Root Planing - Four Or More Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant
$52 - Comprehensive Oral Evaluation - New Or Established Patient
$52 - Pulp Cap - Direct (Excluding Final Restoration)
$529 - Inlay - Metallic - One Surface
$53 - Adjust Complete Denture - Maxillary
$53 - Adjust Complete Denture - Mandibular
$53 - Adjust Partial Denture - Maxillary
$53 - Adjust Partial Denture - Mandibular
$53 - Occlusal Orthotic Device Adjustment
$53 - Removable Orthodontic Retainer Adjustment
$53 - Office Visit For Observation (During Regularly Scheduled Hours) - No Other Services Performed
$53 - Occlusal Guard Adjustment
$530 - Occlusal Orthotic Device By Report
$54 - Re-Cementation Of Space Maintainer
$543 - Soft Tissue Allograft
$543 - 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
$544 - Labial Veneer (Resin Laminate) - Chairside
$550 - Sinus Augmentation Via A Vertical Approach
$56 - Enamel Microabrasion
$56 - External Bleaching - Per Tooth
$576 - Apicoectomy/Periradicular Surgery - Anterior
$576 - Periradicular Surgery Without Apicoectomy
$584 - Semi-Precision Attachment Abutment
$584 - Custom Abutment - Includes Placement
$590 - Clinical Crown Lengthening - Hard Tissue
$597 - Inlay - Cast Predominantly Base Metal Two Surfaces
$600 - Inlay - Metallic - Two Surfaces
$606 - Inlay - Cast Noble Metal Two Surfaces
$608 - Inlay - Porcelain/Ceramic Two Surfaces
$609 - Endodontic Therapy Bicuspid Tooth (Excluding Final Restoration)
$618 - Inlay - Resin-Based Composite - Two Surfaces
$618 - Onlay - Resin-Based Composite - Three Surfaces
$618 - Labial Veneer (Resin Laminate) - Laboratory
$619 - Inlay - Cast High Noble Metal Two Surfaces
$62 - Removal Of Fixed Space Maintainer
$622 - Inlay - Porcelain/Ceramic - One Surface
$625 - removable unilateral partial denture ? one piece cast metal (including clasps and teeth) maxillary
$625 - removable unilateral partial denture ? one piece cast metal (including clasps and teeth) mandibular
$629 - Apicoectomy/Periradicular Surgery - Bicuspid (First Root)
$63 - Comprehensive Periodontal Evaluation - New Or Established Patient
$63 - Localized Delivery Of Antimicrobial Agents Via A Controlled Release Vehicle Into Diseased Crevicular Tissue Per Tooth By Report
$637 - Onlay -Porcelain/Ceramic Two Surfaces
$645 - Free Soft Tissue Graft Procedure (Including Donor Site Surgery) First Tooth Or Edentulous Tooth Position In Graft
$645 - Free Soft Tissue Graft Procedure (Including Donor Site Surgery) Each Additional Contiguous Tooth Or Edentulous Tooth Position In Same Graft Site
$65 - Prophylaxis - Adult
$65 - Palliative (Emergency) Treatment Of Dental Pain - Minor Procedure
$65 - Cleaning And Inspection Of Removable Complete Denture Maxillary
$65 - Cleaning And Inspection Of Removable Complete Denture Mandibular
$65 - Cleaning And Inspection Of Removable Partial Denture Maxillary
$65 - Cleaning And Inspection Of Removable Partial Denture Mandibular
$651 - Inlay - Cast Predominantly Base Metal Three Or More Surfaces
$656 - Onlay - Cast Predominantly Base Metal Two Surfaces
$657 - Inlay - Porcelain/Ceramic - Two Surfaces
$659 - Pedicle Soft Tissue Graft Procedure
$659 - Pontic - Indirect Resin Based Composite
$66 - Non-Intravenous Conscious Sedation
$665 - Onlay - Porcelain/Ceramic Three Or More Surfaces
$668 - Pontic - Porcelain Fused To Predominantly Base Metal
$67 - Vertical Bitewings - 7 To 8 Films
$670 - Inlay - Resin-Based Composite - Three Or More Surfaces
$670 - Onlay - Resin-Based Composite - Four Or More Surfaces
$670 - Inlay - Cast Noble Metal Three Or More Surfaces
$670 - Onlay - Cast Noble Metal Two Surfaces
$671 - Labial Veneer (Porcelain Laminate) - Laboratory
$671 - Crown - Indirect Resin Based Composite
$673 - Onlay - Cast High Noble Metal Two Surfaces
$677 - Retreatment Of Previous Root Canal Therapy - Anterior
$678 - Onlay - Metallic-Two Surfaces
$68 - Recement Inlay Onlay Or Partial Coverage Restoration
$68 - Recement Cast Or Prefabricated Post And Core
$68 - Recement Crown
$680 - Onlay - Porcelain/Ceramic - Two Surfaces
$683 - Inlay - Cast High Noble Metal Three Or More Surfaces
$684 - Connecting Bar ? Implant Supported Or Abutment Supported
$684 - Onlay - Cast Noble Metal Three Or More Surfaces
$684 - Surgical Reduction Of Osseous Tuberosity
$686 - Pontic - Cast Predominantly Base Metal
$690 - Onlay - Titanium
$691 - Inlay - Metallic - Three Or More Surfaces
$696 - Crown - 3/4 Cast Predominantly Base Metal
$699 - Inlay - Porcelain/Ceramic - Three Or More Surfaces
$70 - Fixed Partial Denture Sectioning
$701 - Biopsy Of Oral Tissue - Hard (Bone Tooth)
$703 - Onlay - Cast Predominantly Base Metal Three Or More Surfaces
$704 - Removal Of Lateral Exostosis (Maxilla Or Mandible)
$705 - Pontic - Porcelain Fused To Noble Metal
$709 - Onlay - Metallic-Three Surfaces
$71 - Protective Restoration
$71 - Interim Therapeutic Restoration ? Primary Dentition
$711 - Apicoectomy/Periradicular Surgery - Molar (First Root)
$711 - Inlay - Porcelain/Ceramic Three Or More Surfaces
$714 - Overdenture ? Partial Maxillary
$714 - Overdenture ? Partial Mandibular
$714 - Pontic - Cast Noble Metal
$718 - Crown - 3/4 Cast Noble Metal
$723 - Pontic - Porcelain Fused To High Noble Metal
$725 - Crown - Full Cast Predominantly Base Metal
$729 - Pontic - Cast High Noble Metal
$73 - Extraction Coronal Remnants - Deciduous Tooth
$733 - Onlay - Porcelain/Ceramic - Three Surfaces
$735 - Crown - Full Cast Noble Metal
$735 - Subepithelial Connective Tissue Graft Procedures Per Tooth
$735 - Autogenous Connective Tissue Graft Procedure (Including Donor And Recipient Surgical Sites) ? Each Additional Contiguous Tooth Implant Or Edentulous Tooth Position In Same Graft Site
$735 - Onlay - Cast High Noble Metal Three Or More Surfaces
$735 - Crown - Porcelain Fused To Predominantly Base Metal
$737 - Pontic - Titanium
$738 - Onlay - Metallic-Four Or More Surfaces
$739 - Crown - 3/4 Cast High Noble Metal
$74 - Odontoplasty 1 - 2 Teeth; Includes Removal Of Enamel Projections
$746 - Pontic - Porcelain/Ceramic
$746 - Crown - Porcelain Fused To Noble Metal
$746 - Crown - Full Cast High Noble Metal
$752 - Inlay - Titanium
$756 - Crown - 3/4 Porcelain/Ceramic
$761 - Crown - Titanium
$767 - Removal Of Torus Mandibularis
$778 - Onlay - Porcelain/Ceramic - Four Or More Surfaces
$78 - Panoramic Film
$783 - Pediatric Partial Denture Fixed
$79 - Diagnostic Casts
$79 - Amalgam - One Surface Primary Or Permanent
$793 - Crown - Porcelain/Ceramic Substrate
$793 - Endodontic Therapy Molar (Excluding Final Restoration)
$798 - Retreatment Of Previous Root Canal Therapy - Bicuspid
$798 - Crown - Porcelain Fused To High Noble Metal
$809 - Crown - Porcelain/Ceramic
$813 - Removal Of Torus Palatinus
$819 - Maxillary Partial Denture - Resin Base (Including Any Conventional Clasps Rests And Teeth)
$819 - Immediate Maxillary Partial Denture ? Resin Base (Including Any Conventional Clasps Rests And Teeth)
$82 - Brush Biopsy - Transepithelial Sample Collection
$840 - Overdenture ? Complete Maxillary
$840 - Overdenture ? Complete Mandibular
$861 - Osseous Surgery (Including Flap Entry And Closure) - Four Or More Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant
$865 - Combined Connective Tissue And Double Pedicle Graft Per Tooth
$87 - Recement Implant/Abutment Supported Crown
$88 - Office Visit - After Regularly Scheduled Hours
$89 - Replace Missing Or Broken Teeth - Complete Denture (Each Tooth)
$891 - Mandibular Partial Denture - Resin Base (Including Any Conventional Clasps Rests And Teeth)
$891 - Immediate Mandibular Partial Denture ? Resin Base (Including Any Conventional Clasps Rests And Teeth)
$90 - Intraoral - Complete Series (Including Bitewings)
$90 - Periodontal Scaling And Root Planing - One To Three Teeth Per Quadrant
$90 - 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
$92 - Recement Fixed Partial Denture
$93 - Additional Procedures To Construct New Crown Under Existing Partial Denture Framework
$93 - Tissue Conditioning Maxillary
$93 - Tissue Conditioning Mandibular
$93 - Exfoliative Cytological Sample Collection
$93 - Occlusal Adjustment - Limited
$943 - Incision And Drainage Of Abscess - Extraoral Soft Tissue
$95 - Replacement Of Semi-Precision Or Precision Attachment (Male Or Female Component) Of Implant/Abutment Supported Prosthesis Per Attachment
$95 - Recement Implant/Abutment Supported Fixed Partial Denture
$95 - Repair Of Orthodontic Appliance
$96 - Scaling In Presence Of Generalized Moderate Or Severe Gingival Inflammation ? Full Mouth After Oral Evaluation
$96 - Periodontal Maintenance
$960 - Retreatment Of Previous Root Canal Therapy - Molar
$97 - Cephalometric Film
$97 - Replace Broken Teeth - Per Tooth
$970 - Complete Denture - Maxillary
$970 - Complete Denture - Mandibular
$999 - Maxillary Partial Denture - Flexible Base (Including Any Clasps Rests And Teeth)
$999 - Mandibular Partial Denture - Flexible Base (Including Any Clasps Rests And Teeth)
$999 - Abutment Supported Crown - (Titanium)
1333 CAMINO DEL RIO SUITE 202 SAN DIEGO CA 92108