Screening
D0190
Pano
D0330
FMX
D0210
COE
D0150
COE Transfer
D0150A
Comprehensive perio eval
D0180
Diagnostic casts
D0470
LOE
D0140
Adult prophy
D1110
OHI
D1331
Amalgam one surface
Amalgam two surface
D2140
D2150
Resin one surface, anterior
Resin two surface, anterior
D2330
D2331
Consult
D0093
CRA low risk
CRA moderate risk
CRA high risk
D0601
D0602
D0603