89500 NEONATAL DENTO-FACIAL ORTHOPEDICS

80000	ORTHODONTICS
89500	NEONATAL DENTO-FACIAL ORTHOPEDICS
Additional Information:	Add'l Info:	(comprehensive treatment for first six months of life) (1) Diagnostic procedures (includes radiographs and/or photographs); (2) Parent consultation; (3) Impression and appliance construction; (4) Insertion and parent instruction; (5) Post treatment evaluation; (6) Adjustment of appliances (includes soft relin; (7) Reconstruction and/or reevaluation (may include up to two remakes).
89501	Expansion Appliance for Infants with Cleft Palate	349.56 - 3146.09 +Lab Costs	349.56 - 3146.09 +Lab Costs
89502	Extraoral Retraction Appliance for Infants with Cleft Palate	349.56 - 3146.09 +Lab Costs	349.56 - 3146.09 +Lab Costs
89503	Stage l - Initial Expansion	1310.86 - 2621.75 +Lab Costs	1310.86 - 2621.75 +Lab Costs
89504	Stage ll - Anterior Alignment	1310.86 - 2621.75 +Lab Costs	1310.86 - 2621.75 +Lab Costs
89505	Stage lll - Final Alignment (complete banding)	2621.75 - 6991.34 +Lab Costs	2621.75 - 6991.34 +Lab Costs
89506	Stage lll - Where Stage l and ll were not provided for	5243.5 - 13982.71 +Lab Costs	5243.5 - 13982.71 +Lab Costs