Insurance Codes per Procedure - Dental XP

Fee Schedule FEE 3 Service Code D9630 D9910 D9940 E0486 ESSEX INVSX ORCON Goldstein, Garber, & Salama, LLC SERVICE CODES BY FEE SCHEDULE ADA Code

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Office Service Codes Procedure - Dental XP

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Surgic removl resid tooth root Vestibuloplasty-ridge ext (inc) Removal of lat exostosis(max or mand) Occlusal orthotic device Osseous, misc.graft auto/nonauto Frenectomy- Seperate Procedure Phase 1 Early Ortho Tx Limited ortho treat, adolescent Limited Ortho Treat, Adult Dent Comprehensive Ortho Adolescent Comprehensive Ortho, Adult Dent

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