15 Most Common Procedures
Code | Description | Fee |
0120 | Recall Exam | $59 |
0140 | Problem Focused Exam | $84 |
0150 | Comprehensive Exam | $94 |
0210 | Complete Series of Radiographs | $148 |
0220 | Periapical Radiograph | $32 |
0230 | Additional Periapical Radiograph | $25 |
0274 | Bite-wing Radiographs | $71 |
1110 | Prophylaxis Adult | $105 |
1120 | Prophylaxis Child | $78 |
1206 | Fluoride Varnish | $47 |
1351 | Sealants | $59 |
2391 | Surface Composite Resin / One Surface | $198 |
2392 | Surface Composite Resin / Two Surfaces | $252 |
2740 | All Porcelain Crown | $1210 |
2950 | Build-up Restoration | $289 |
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