14910 Appliance, Intraoral, For the Treatment of Obstructive Airway Disorders, Periodic Maintenance, Adjustment and Repairs

10000	PREVENTION
14000	APPLIANCES
14900	APPLIANCES, INTRAORAL, TO TREAT MEDICALLY DIAGNOSED OBSTRUCTIVE SLEEP APNEA, SNORING, UPPER AIRWAY RESISTANCE SYNDROM (UARS) WITH OR WITHOUT APNEA (Includes models, gnathological determinants, appliance construction and insertion adjustment [no post- insertion adjustments])
14910	Appliance, Intraoral, For the Treatment of Obstructive Airway Disorders, Periodic Maintenance, Adjustment and Repairs
14911	One unit of time	85.68 +Lab Costs	85.68 +Lab Costs
14912	Two units	171.35 +Lab Costs	171.35 +Lab Costs
14919	Each additional unit over two	85.68 +Lab Costs	85.68 +Lab Costs