80660 Separation (except where included in the fabrication of an appliance)
| 80000 | ORTHODONTICS |
||
| 80600 | ORTHODONTIC, OBSERVATIONS AND ADJUSTMENTS |
||
| 80660 | Separation (except where included in the fabrication of an appliance) | ||
| 80661 | One unit of time |
87.38 | 87.38 |
| 80669 | Each addition unit of time |
87.38 | 87.38 |