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DENTAL FEE SCHEDULE

DENTAL FEE SCHEDULE Diagnostics Code Description CCN Region 1 CCN Region 2 CCN Region 3 D0120 Periodic oral evaluation established patient D0140 Limited oral evaluation problem focused D0150 Comprehensive oral evaluation new or established patient D0160 Detailed and extensive oral evaluation problem focused, by report D0170 Re-evaluation limited, problem focused (established patient; not post-operative visit) D0171 Re-evaluation post-operative office visit D0180 Comprehensive periodontal evaluation new or established patient D0190 Screening of a patient D0191 Assessment of a patient D0391 Interpr of diagnostic image by prac not associated with capture of

Jun 01, 2020 · DENTAL FEE SCHEDULE Diagnostics Code Description CCN Region 1 CCN Region 2 CCN Region 3 D0120 Periodic oral evaluation – established patient 35.91

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