UNILATERAL PARTIAL DENTURE-ONE PIECE CAST METAL / LABIAL VENEER (PORCELAIN LAMINATE)LABORATORY / Covered LIMITED / CAST NOBLE METAL / /
Facility
Not Covered SURGICAL PROCEDURE FOR ISOLATION OF TOOTH WITH RUBBER DAM / LABORATORY Not Covered LABIAL VENEER / OUTPATIENT HOSPITAL / ROOT CANAL / /
MedicalCondition
DISEASE / AIDS / ROOT RESORPTION / /
Organization
OUTPATIENT HOSPITAL / THERAPEUTIC RESTORATIONPRIMARY DENTITION RESTORATIVE FOUNDATION FOR AN INDIRECT RESTORATION CORE BUILDUP / American Dental Association / /
Position
TREATING DENTIST / /
Product
APEXIFICATION/RECALCIFICATIONINTERIM MEDICATION / 3D IMAGE / /
DENTAL FEE SCHEDULE - OUTPATIENT HOSPITAL effective[removed]Print Date: Jan 6, 2015 Current Dental Terminology (including procedure codes, nomenclature, descriptors and other data contained therein) is copyright © 2013