05109 Each additional unit over four
| 00000 | DIAGNOSTIC |
||
| 05000 | CASE PRESENTATION/TREATMENT PLANNING |
||
| 05100 | TREATMENT PLANNING |
||
| 05109 | Each additional unit over four | $77.9 | $77.9 |
| 00000 | DIAGNOSTIC |
||
| 05000 | CASE PRESENTATION/TREATMENT PLANNING |
||
| 05100 | TREATMENT PLANNING |
||
| 05109 | Each additional unit over four | $77.9 | $77.9 |