0120
periodic oral exam
0210
FMX
0240
occlusal xrays
0272
2 BWX
0274
4 BWX
0277
vertical BWX
0330
PANO
1110
adult prophy
1120
child prophy
1206
fluoride varnish
1208
fluoride tray
1330
OHI
1351
sealants
4341
RPS 4 teeth
4342
RPS 1-3 teeth
4381
antimicrobial placement
4910
perio maint
9230
N2O
9910
desensitizing agent
9931
clean prosthetic
9941
mouth/ night guard
9975
bleach trays