14610 Appliances, Periodontal (including bruxism appliance); Includes Impression, Insertion and Insertion Adjustment (no post-insertion adjustments)
| 10000 | PREVENTION |
||
| 14000 | APPLIANCES |
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| 14600 | APPLIANCES, PERIODONTAL |
||
| 14610 | Appliances, Periodontal (including bruxism appliance); Includes Impression, Insertion and Insertion Adjustment (no post-insertion adjustments) | ||
| 14611 | Maxillary Appliance |
436.94
+Lab Costs |
436.94
+Lab Costs |
| 14612 | Mandibular Appliance |
436.95
+Lab Costs |
436.95
+Lab Costs |