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

1852.94

2779.27

-

8997

Sulcoplasty / Vestibuloplasty

+L

M

S

4677.96

7016.59

-

9003

Repositioning mental foramen and nerve, per side

+L

M

S

2835.51

4253.05

-

9004

Lateralization of inferior dental nerve (including bone grafting)

S

5621.99

8432.56

-

9005

Total alveolar ridge augmentation by bone graft

+L

M

S

4760.42

7140.28

-

9007

Total alveolar ridge augmentation by alloplastic material

+L

M

S

3069.61

4604.19

-

9008

Alveolar ridge augmentation across 1 to 2 adjacent tooth sites.

+L

M

S

1962.05

2942.93

-

9009

Alveolar ridge augmentation across 3 or more tooth sites

+L

M

S

2188.21

3282.14

-

9010

Sinus lift procedure

+L

M

S

3098.10

4646.92

-