42200 PERIODONTAL SURGERY, GINGIVOPLASTY (Does not include limited re-contouring to facilitate restorative services)

40000

PERIODONTICS
42000

PERIODONTAL SERVICES, SURGICAL
42200 PERIODONTAL SURGERY, GINGIVOPLASTY (Does not include limited re-contouring to facilitate restorative services)
42201

Per sextant

 262.16 262.16
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