42311 Per sextant
| 40000 | PERIODONTICS |
||
| 42000 | PERIODONTAL SERVICES, SURGICAL |
||
| 42300 | PERIODONTAL SURGERY, GINGIVECTOMY |
||
| 42310 | Gingivectomy, Uncomplicated |
||
| 42311 | Per sextant | $297.85 | $297.85 |