39319 Each additional unit over three
| 30000 | ENDODONTICS |
||
| 39000 | ENDODONTIC, PROCEDURES, MISCELLANEOUS |
||
| 39300 | BLEACHING, NON VITAL |
||
| 39310 | Bleaching Endodontically Treated Tooth/Teeth |
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| 39319 | Each additional unit over three | $84.46 | $84.46 |