Code

Procedure description

DM/+

MP

TC

General Dental Practice

Maxillo-facial and Oral Surgery

Prosthodontics

SURGICAL PREPARATION OF JAWS FOR PROSTHETICS

8995

Gingivectomy, per jaw

+L

M

S

1 690.39

2 535.46

-

8997

Sulcoplasty / Vestibuloplasty

+L

M

S

4 267.59

6 401.06

-

9003

Repositioning mental foramen and nerve, per side

+L

M

S

2 586.76

3 879.95

-

9004

Lateralization of inferior dental nerve (including bone grafting)

S

5 128.80

7 692.82

-

9005

Total alveolar ridge augmentation by bone graft

+L

M

S

4 342.82

6 513.90

-

9007

Total alveolar ridge augmentation by alloplastic material

+L

M

S

2 800.33

4 200.29

-

9008

Alveolar ridge augmentation across 1 to 2 adjacent tooth sites.

+L

M

S

1 789.93

2 684.76

-

9009

Alveolar ridge augmentation across 3 or more tooth sites

+L

M

S

1 996.25

2 994.22

-

9010

Sinus lift procedure

+L

M

S

2 826.32

4 239.27

-