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ADJUNCTIVE GENERAL SERVICES | ANESTHESIA | January 1, 2026

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

ADJUNCTIVE GENERAL SERVICES | ANESTHESIA | January 1, 2026

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

ANESTHESIA | January 1, 2026

NON-INTRAVENOUS CONSCIOUS SEDATION

OTHER REMOVABLE PROSTHETIC SERVICES | January 1, 2026

OVERDENTURE – COMPLETE MAXILLARY – NATURAL TOOTH BORNE

OTHER REMOVABLE PROSTHETIC SERVICES | January 1, 2026

OVERDENTURE – PARTIAL MAXILLARY – NATURAL TOOTH BORNE