76959 Each additional unit over two
| 70000 | ORAL MAXILLOFACIAL SURGERY |
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| 76000 | FRACTURES, TREATMENT OF |
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| 76900 | FRACTURES, REDUCTIONS, ALVEOLAR |
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| 76950 | Repositioning of Traumatically Displaced Teeth |
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| 76959 | Each additional unit over two | $130.64 | $130.64 |