Code

Procedure description

DM/+L

MP

TC

General Dental Practice

(054)

Maxillo-facial and Oral Surgery

(062)

Prosthodontics

(094)

SURGICAL PREPARATION OF JAWS FOR PROSTHETICS

8995

Gingivectomy, per jaw

+L

M

S

1964.12

2946.03

-

8997

Sulcoplasty / Vestibuloplasty

+L

M

S

4958.64

7437.58

-

9003

Repositioning mental foramen and nerve, per side

+L

M

S

3005.64

4508.23

-

9004

Lateralization of inferior dental nerve (including bone grafting)

S

5959.31

8938.52

-

9005

Total alveolar ridge augmentation by bone graft

+L

M

S

5046.05

7568.69

-

9007

Total alveolar ridge augmentation by alloplastic material

+L

M

S

3253.79

4880.44

-

9008

Alveolar ridge augmentation across 1 to 2 adjacent tooth sites.

+L

M

S

2079.77

3119.50

-

9009

Alveolar ridge augmentation across 3 or more tooth sites

+L

M

S

2319.50

3479.07

-

9010

Sinus lift procedure

+L

M

S

3283.99

4925.73

-