01301 Examination and Diagnosis, Stomatognathic Dysfunctional, Comprehensive, to include:
| 00000 | DIAGNOSTIC |
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| 01000 | EXAMINATION AND DIAGNOSIS, CLINICAL ORAL |
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| 01300 | EXAMINATIONS AND DIAGNOSIS, STOMATOGNATHIC, DYSFUNCTIONAL |
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| 01301 | Examination and Diagnosis, Stomatognathic Dysfunctional, Comprehensive, to include: | $282.02 | $282.02 |
| Details: | History, Medical , Dental, Pain/Dysfunction |