72800 REMOVAL OF FRACTURED CUSP AS A SEPARATE PROCEDURE, NOT IN CONJUCTION WITH SURGICAL OR RESTORATIVE PROCEDURES ON THE SAME TOOTH
| 70000 | ORAL MAXILLOFACIAL SURGERY |
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| 72000 | REMOVALS, (EXTRACTIONS), SURGICAL |
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| 72800 | REMOVAL OF FRACTURED CUSP AS A SEPARATE PROCEDURE, NOT IN CONJUCTION WITH SURGICAL OR RESTORATIVE PROCEDURES ON THE SAME TOOTH | ||
| 72801 | First tooth |
84.27 | 84.27 |
| 72809 | Each Additional Tooth |
84.27 | 84.27 |