02130 Radiographs, Occlusal
| 00000 | DIAGNOSTIC |
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| 02000 | RADIOGRAPHS (including radiographic examination and diagnosis and interpretation) |
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| 02100 | RADIOGRAPHS, REGIONAL/LOCALIZED |
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| 02130 | Radiographs, Occlusal | ||
| 02131 | Single image |
51.8 | 51.8 |
| 02132 | Two images |
72.56 | 72.56 |
| 02133 | Three images |
93.34 | 93.34 |
| 02134 | Four images |
114.11 | 114.11 |