2010 HCPCS Schedule - DE Medical Assistance Program

D3348 RETREAT ROOT CANAL MOLAR 80
D3351 APEXIFICATION/RECALC INITIAL 80
D3352 APEXIFICATION/RECALC INTERIM 80
D3353 APEXIFICATION/RECALC FINAL 80
D3410 APICOECT/PERIRAD SURG ANTER 80
D3421 ROOT SURGERY BICUSPID 80
D3425 ROOT SURGERY MOLAR 80
D3426 ROOT SURGERY EA ADD ROOT 80
D3430 RETROGRADE FILLING 80
D3450 ROOT AMPUTATION 80
D3470 INTENTIONAL REPLANTATION 80
D3910 ISOLATION- TOOTH W RUBB DAM 80
D3999 ENDODONTIC PROCEDURE 80
D4210 GINGIVECTOMY/PLASTY PER QUAD 80
D4211 GINGIVECTOMY/PLASTY PER TOOT 80
D4230 ANA CROWN EXP 4 OR> PER QUAD 80
D4231 ANA CROWN EXP 1-3 PER QUAD 80
D4240 GINGIVAL FLAP PROC W/ PLANIN 80
D4241 GNGVL FLAP W ROOTPLAN 1-3 TH 80
D4245 APICALLY POSITIONED FLAP 80
D4249 CROWN LENGTHEN HARD TISSUE 80
D4260 OSSEOUS SURGERY PER QUADRANT 80
D4261 OSSEOUS SURGL-3TEETHPERQUAD 80
D4263 BONE REPLCE GRAFT FIRST SITE 80
D4264 BONE REPLCE GRAFT EACH ADD 80
D4265 BIO MTRLS TO AID SOFT/OS REG 80
D4266 GUIDED TISS REGEN RESORBLE 80
D4267 GUIDED TISS REGEN NONRESORB 80
D4268 SURGICAL REVISION PROCEDURE 80
D4270 PEDICLE SOFT TISSUE GRAFT PR 80
D4271 FREE SOFT TISSUE GRAFT PROC 80
D4273 SUBEPITHELIAL TISSUE GRAFT 80
D4274 DISTAL/PROXIMAL WEDGE PROC 80
D4275 SOFT TISSUE ALLOGRAFT 80
D4276 CON TISSUE W DBLE PED GRAFT 80
D4320 PROVISION SPLNT INTRACORONAL 80
D4321 PROVISIONAL SPLINT EXTRACORO 80
D4341 PERIODONTAL SCALING & ROOT 80
D4342 PERIODONTAL SCALING 1-3TEETH 80
D4355 FULL MOUTH DEBRIDEMENT 80
D4381 LOCALIZED DELIVERY ANTIMICRO 80
D4910 PERIODONTAL MAINT PROCEDURES 80
D4920 UNSCHEDULED DRESSING CHANGE 80
D4999 UNSPECIFIED PERIODONTAL PROC 80
D5110 DENTURES COMPLETE MAXILLARY 80
D5120 DENTURES COMPLETE MANDIBLE 80
D5130 DENTURES IMMEDIAT MAXILLARY 80
D5140 DENTURES IMMEDIAT MANDIBLE 80
D5211 DENTURES MAXILL PART RESIN 80
D5212 DENTURES MAND PART RESIN 80
D5213 DENTURES MAXILL PART METAL 80
D5214 DENTURES MANDIBL PART METAL 80
D5225 MAXILLARY PART DENTURE FLEX 80