Revised 2023

DIAGNOSTIC | IMAGE CAPTURE WITH INTERPRETATION | January 1, 2025

INTRAORAL – COMPREHENSIVE SERIES OF RADIOGRAPHIC IMAGES

EXTRACTIONS (INCLUDES LOCAL ANESTHESIA, SUTURING, IF NEEDED, AND ROUTINE POSTOPERATIVE CARE) | January 1, 2025

CORONECTOMY – INTENTIONAL PARTIAL TOOTH REMOVAL, IMPACTED TEETH ONLY

UNCLASSIFIED TREATMENT | September 16, 2024

PALLIATIVE TREATMENT OF DENTAL PAIN – PER VISIT

PROFESSIONAL VISITS | September 16, 2024

CASE PRESENTATION, SUBSEQUENT TO DETAILED AND EXTENSIVE TREATMENT PLANNING

NON-SURGICAL PERIODONTAL SERVICE | September 16, 2024

FULL MOUTH DEBRIDEMENT TO ENABLE A COMPREHENSIVE PERIODONTAL EVALUATION AND DIAGNOSIS ON A SUBSEQUENT VISIT