13249 Each additional unit over two
| 10000 | PREVENTION |
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| 13000 | PREVENTIVE SERVICES, OTHER |
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| 13200 | ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL |
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| 13240 | Oral Hygiene Instruction - Audio-Visual |
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| 13249 | Each additional unit over two | $74.0 | $74.0 |