Page 12 - National Billing Florida Dental Flipbook
P. 12

F.  ORAL SURGERY, GUM TREATMENTS, AND PROSTHETIC REPAIR – continued

                D5421   Adjust Partial Denture (maxillary)                                                        $40
                D5422   Adjust Partial Denture (mandibular)                                                        40
                D5510   Repair Broken Complete Denture Base                                                        80
                D5520   Replace Missing or Broken Teeth (complete denture; each tooth)                             75
                D5610   Repair Resin Denture Base                                                                  80
                D5620   Repair Cast Framework                                                                     105
                D5630   Repair or Replace Broken Clasp                                                             90
                D5640   Replace Broken Teeth (per tooth)                                                           75
                D5650   Add Tooth to Existing Partial Denture                                                      80
                D5660   Add Clasp to Existing Partial Denture                                                     105
                D5710   Rebase Complete Maxillary Denture                                                         225
                D5711   Rebase Complete Mandibular Denture                                                        300
                D5720   Rebase Maxillary Partial Denture                                                          300
                D5721   Rebase Mandibular Partial Denture                                                         300
                D5730   Reline Complete Maxillary Denture (chairside)                                             145
                D5731   Reline Complete Mandibular Denture (chairside)                                            145
                D5740   Reline Maxillary Partial Denture (chairside)                                              155
                D5741   Reline Mandibular Partial Denture (chairside)                                             155
                D5750   Reline Complete Maxillary Denture (laboratory)                                            195
                D5751   Reline Complete Mandibular Denture (laboratory)                                           195
                D5760   Reline Maxillary Partial Denture (laboratory)                                             225
                D5761   Reline Mandibular Partial Denture (laboratory)                                            225
                D5850   Tissue Conditioning (maxillary)                                                            75
                D5851   Tissue Conditioning (mandibular)                                                           75
                D6090   Repair of Implanted Supported Prosthetic, by Report                                       195
                D6091   Replacement of Semiprecision or Precision Attachment (male or female component) of Implant/
                        Abutment-Supported Prosthesis (per attachment)                                            195
                D6092   Recement Implant/Abutment-Supported Crown                                                 195
                D6093   Recement Implant/Abutment-Supported Fixed Partial Denture                                 195
                D6095   Repair of Implanted Abutment, by Report                                                   195
                D6100   Implant Removal, by Report                                                                 70
                D6930   Recement Fixed Partial Denture                                                             70
                D7111   Coronal Remnants (deciduous tooth)                                                         70
                D7140   Extraction, Erupted Tooth, or Exposed Root (elevation and/or forceps removal)              75
                D7210   Surgical Removal of Erupted Tooth Requiring Elevation of Mucoperiosteal Flap and Removal of
                        Bone and/or Section of Tooth                                                              125
                D7220   Removal of Impacted Tooth (soft tissue)                                                   150
                D7230   Removal of Impacted Tooth (partially bony)                                                215
                D7240   Removal of Impacted Tooth (completely bony)                                               225
                D7241   Removal of Impacted Tooth (completely bony, with unusual surgical complications)          265
                D7250   Surgical Removal of Residual Tooth Roots (cutting procedure)                              125
                D7260   Oroantral Fistula Closure                                                                 315
                D7270   Tooth Reimplantation and/or Stabilization of Accidentally Evulsed or Displaced Tooth and/or Alveolus  315
                D7280   Surgical Access of an Unerupted Tooth                                                     345
                D7282   Mobilization of Erupted or Malpositioned Tooth to Aid Eruption                            115
                D7283   Placement of Device to Facilitate Eruption of Impacted Tooth                              115
                D7285   Biopsy of Oral Tissue – Hard (bone, tooth)                                                650
                D7286   Biopsy of Oral Tissue – Soft (all others)                                                 265
                D7310   Alveoloplasty in Conjunction With Extractions (per quadrant)                              115
                D7311   Alveoloplasty in Conjunction With Extractions (one to three teeth or tooth spaces, per quadrant)   115
                D7320   Alveoloplasty Not in Conjunction With Extractions (per quadrant)                          145
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