76949 Each additional tooth
| 70000 | ORAL MAXILLOFACIAL SURGERY |
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| 76000 | FRACTURES, TREATMENT OF |
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| 76900 | FRACTURES, REDUCTIONS, ALVEOLAR |
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| 76940 | Replanation, Avulsed Tooth/Teeth (including splinting) |
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| 76949 | Each additional tooth | $426.01 | $426.01 |