B

OTHER SURGICAL PROCEDURES | January 1, 2026

INCISIONAL BIOPSY OF ORAL TISSUE – HARD (BONE, TOOTH)

OTHER SURGICAL PROCEDURES | January 1, 2026

INCISIONAL BIOPSY OF ORAL TISSUE – SOFT

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

DIAGNOSTIC | TESTS AND EXAMINATIONS | January 1, 2026

HbA1c IN-OFFICE POINT OF SERVICE TESTING