41309 Each additional unit over two
| 40000 | PERIODONTICS |
||
| 41000 | PERIODONTAL SERVICES, NON SURGICAL |
||
| 41300 | DESENSITIZATION |
||
| 41309 | Each additional unit over two | $83.42 | $83.42 |
| 40000 | PERIODONTICS |
||
| 41000 | PERIODONTAL SERVICES, NON SURGICAL |
||
| 41300 | DESENSITIZATION |
||
| 41309 | Each additional unit over two | $83.42 | $83.42 |