New 2019

SPACE MAINTENANCE (PASSIVE APPLIANCES) | January 1, 2025

SPACE MAINTAINER – FIXED – BILATERAL, MAXILLARY

TESTS AND EXAMINATIONS | January 1, 2025

BLOOD GLUCOSE LEVEL TEST – IN-OFFICE USING A GLUCOSE METER

DRUGS | January 1, 2025

INFILTRATION OF SUSTAINED RELEASE THERAPEUTIC DRUG, PER QUADRANT

PARTIAL DENTURES (INCLUDING ROUTINE POST-DELIVERY CARE) | January 1, 2025

REMOVABLE UNILATERAL PARTIAL DENTURE – ONE PIECE CAST METAL (INCLUDING RETENTIVE/CLASPING MATERIALS, RESTS, AND TEETH), MAXILLARY

PARTIAL DENTURES (INCLUDING ROUTINE POST-DELIVERY CARE) | January 1, 2025

REMOVABLE UNILATERAL PARTIAL DENTURE – ONE PIECE CAST METAL (INCLUDING RETENTIVE/CLASPSING MATERIALS, RESTS, AND TEETH), MANDIBULAR