Screening
0190
Dr comp exam
0150
Periodic dr exam
0120
2 bwxs
0272
4bwxs
0274
VBW
0277
FMX
0210
Pano
0330
NP
0015
Caries
15105
Missing
15101
Abscess
15115
Ant resin
2330
Post composite
2391
Diastema
15112 15113
Amalgam
2140
Bridge
xxBRG
Prophy
1110
1120
LOC 1-3 SRP
4342
Gen quad
4341
Gingivitis scaling
4346
Perio maintenance
4910
LA
9215
Oraquix
9910