ADJUNCTIVE GENERAL SERVICES

ADJUNCTIVE GENERAL SERVICES | UNCLASSIFIED TREATMENT | January 1, 2026

PHOTOBIOMODULATION THERAPY – EACH SUBSEQUENT 15 MINUTE INCREMENT, OR ANY PORTION THEREOF

ADJUNCTIVE GENERAL SERVICES | ANESTHESIA | January 1, 2026

ADMINISTRATION OF GENERAL ANESTHESIA WITH ADVANCED AIRWAY – EACH SUBSEQUENT 15 MINUTE INCREMENT, OR ANY PORTION THEREOF

ADJUNCTIVE GENERAL SERVICES | MISCELLANEOUS SERVICES | January 1, 2026

CLEANING AND INSPECTION OF OCCLUSAL GUARD – PER APPLIANCE

ADJUNCTIVE GENERAL SERVICES | UNCLASSIFIED TREATMENT | January 1, 2026

PHOTOBIOMODULATION THERAPY – FIRST 15 MINUTE INCREMENT, OR ANY PORTION THEREOF

ADJUNCTIVE GENERAL SERVICES | ANESTHESIA | January 1, 2026

ADMINISTRATION OF DEEP SEDATION/GENERAL ANESTHESIA – FIRST 15 MINUTE INCREMENT, OR ANY PORTION THEREOF