SURGICAL SERVICES (INCLUDING USUAL POSTOPERATIVE CARE)

PERIODONTICS | SURGICAL SERVICES (INCLUDING USUAL POSTOPERATIVE CARE) | January 1, 2026

BONE REPLACEMENT GRAFT – RETAINED NATURAL TOOTH- FIRST SITE IN QUADRANT

PERIODONTICS | SURGICAL SERVICES (INCLUDING USUAL POSTOPERATIVE CARE) | January 1, 2026

BONE REPLACEMENT GRAFT- RETAINED NATURAL TOOTH- EACH ADDITIONAL SITE IN QUADRANT

PERIODONTICS | SURGICAL SERVICES (INCLUDING USUAL POSTOPERATIVE CARE) | September 16, 2024

NON-AUTOGENOUS CONNECTIVE TISSUE GRAFT (INCLUDING RECIPIENT SITE AND DONOR MATERIAL) FIRST TOOTH, IMPLANT, OR EDENTULOUS TOOTH POSITION IN GRAFT

PERIODONTICS | SURGICAL SERVICES (INCLUDING USUAL POSTOPERATIVE CARE) | September 16, 2024

COMBINED CONNECTIVE TISSUE AND PEDICLE GRAFT, PER TOOTH

SURGICAL SERVICES (INCLUDING USUAL POSTOPERATIVE CARE) | September 16, 2024

FREE SOFT TISSUE GRAFT PROCEDURE (INCLUDING RECIPIENT AND DONOR SURGICAL SITES) EACH ADDITIONAL CONTIGUOUS TOOTH, IMPLANT, OR EDENTULOUS TOOTH POSITION IN SAME GRAFT SITE