13609 Each additional unit over two
| 10000 | PREVENTION |
||
| 13000 | PREVENTIVE SERVICES, OTHER |
||
| 13600 | TOPICAL APPLICATION TO HARD TISSUE LESION(S) OF AN ANTIMICROBIAL OR REMINERALIZATION |
||
| 13609 | Each additional unit over two | $74.0 | $74.0 |