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

REMOVAL OF IMPACTED TOOTH – SOFT TISSUE

CROWNS - SINGLE RESTORATIONS ONLY | January 1, 2025

CROWN – PORCELAIN FUSED TO TITANIUM AND TITANIUM ALLOYS

OTHER SURGICAL PROCEDURES | January 1, 2025

TOOTH REIMPLANTATION AND/OR STABILIZATION OF ACCIDENTALLY EVULSED OR DISPLACED TOOTH

TOPICAL FLUORIDE TREATMENT (OFFICE PROCEDURE) | January 1, 2025

TOPICAL APPLICATION OF FLUORIDE VARNISH

DIAGNOSTIC | IMAGE CAPTURE WITH INTERPRETATION | January 1, 2025

PANORAMIC RADIOGRAPHIC IMAGE