72319 Each additional tooth, same quadrant
| 70000 | ORAL MAXILLOFACIAL SURGERY |
||
| 72000 | REMOVALS, (EXTRACTIONS), SURGICAL |
||
| 72300 | REMOVALS, (EXTRACTIONS), RESIDUAL ROOTS |
||
| 72310 | Removals, Residual Roots, Erupted |
||
| 72319 | Each additional tooth, same quadrant | $115.74 | $115.74 |