13214 Four units
| 10000 | PREVENTION |
||
| 13000 | PREVENTIVE SERVICES, OTHER |
||
| 13200 | ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL |
||
| 13210 | Individual Instruction (One Instructor To One Patient) - Excluding Audio-Visual Time |
||
| 13214 | Four units | $296.06 | $296.06 |