49100 PERIODONTAL RE-EVALUATION/EVALUATION
| 40000 | PERIODONTICS |
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| 49000 | PERIODONTAL SERVICES, MISCELLANEOUS |
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| 49100 | PERIODONTAL RE-EVALUATION/EVALUATION | ||
| Additional Information: | Add'l Info: | Note: This follow-up service applies to the evaluation of ongoing periodontal treatment or to a post- |
|
| 49101 | One unit of time |
79.46 | 79.46 |
| 49102 | Two units |
158.92 | 158.92 |
| 49109 | Each additional unit over two |
79.46 | 79.46 |