Periodic Oral Evaluation
0120
Comprehensive Oral Evaulation
0150
Comprehensive Periodontal Evaulation
0180
FMS
0210
1st PA
0220
Consecutive PAs
0230
1 BWX
0270
2 BWX
0272
3 BWX
0273
3 BWX
0273
4 BWX
0274
7-8 VBWX
0277
Panoramic
0330
Photographs
0350
Adult Prophylaxis
1110
Child Prophylaxis
1120
Periodontal SRP 4+ Teeth
4341
Periodontal SRP 1-3 Teeth
4342
Full Mouth Debridement
4355
Localized Delivery of Antimicrobial Agent
4381
Periodontal Maintenance
4910
Fluoride Varnish
1206
Topical Fluoride
1208
Nutritional Counseling
1310
Tobacco Cessation Counseling
1320
Oral Health Education
1330
Dental Sealant
1351
Periodontal Charting
4110
Unspecified periodontal procedure (In office irrigation)
4999
Local Anesthesia
9215
Medicaments for home use
9630
Desensitizing Agent
9910
Behavior Modification
9920