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

1758.01

2636.88

-

8997

Sulcoplasty / Vestibuloplasty

+L

M

S

4438.29

6657.10

-

9003

Repositioning mental foramen and nerve, per side

+L

M

S

2690.23

4035.15

-

9004

Lateralization of inferior dental nerve (including bone grafting)

S

5333.96

8000.53

-

9005

Total alveolar ridge augmentation by bone graft

+L

M

S

4516.53

6774.46

-

9007

Total alveolar ridge augmentation by alloplastic material

+L

M

S

2912.35

4368.30

-

9008

Alveolar ridge augmentation across 1 to 2 adjacent tooth sites.

+L

M

S

1861.53

2792.15

-

9009

Alveolar ridge augmentation across 3 or more tooth sites

+L

M

S

2076.10

3113.99

-

9010

Sinus lift procedure

+L

M

S

2939.37

4408.84

-