fee schedule 2009 new - DE Medical Assistance Program

D7995 9 SYNTHETIC GRAFT FACIAL BONES 0.00
D7996 9 IMPLANT MANDIBLE FOR AUGMENT 0.00
D7997 1 APPLIANCE REMOVAL 0.00
D7998 9 INTRAORAL PLACE OF FIX DEV 0.00
D7999 1 ORAL SURGERY PROCEDURE 0.00
D8010 1 LIMITED DENTAL TX PRIMARY 0.00
D8020 1 LIMITED DENTAL TX TRANSITION 0.00
D8030 1 LIMITED DENTAL TX ADOLESCENT 0.00
D8040 1 LIMITED DENTAL TX ADULT 0.00
D8050 1 INTERCEP DENTAL TX PRIMARY 0.00
D8060 1 INTERCEP DENTAL TX TRANSITN 0.00
D8070 1 COMPRE DENTAL TX TRANSITION 0.00
D8080 3 COMPRE DENTAL TX ADOLESCENT 1,585.00
D8090 1 COMPRE DENTAL TX ADULT 0.00
D8110 O REMOVABLE APPLIANCE THERAPY 0.00
D8120 O FIXED APPLIANCE THERAPY 0.00
D8210 1 ORTHODONTIC REM APPLIANCE TX 0.00
D8220 1 FIXED APPLIANCE THERAPY HABT 0.00
D8360 O REMOVABLE APPLIANCE THERAPY 0.00
D8370 O FIXED APPLIANCE THERAPY 0.00
D8460 O CLASS I MALOCCLUSION 0.00
D8470 O CLASS II MALOCCLUSION 0.00
D8480 O CLASS III MALOCCLUSION 0.00
D8560 O CLASS I MALOCCLUSION 0.00
D8570 O CLASS II MALOCCLUSION 0.00
D8580 O CLASS III MALOCCLUSION 0.00
D8650 O TREATMENT OF THE ATYPICAL OR EXTEND 0.00
D8660 3 PREORTHODONTIC TX VISIT 225.00
D8670 3 PERIODIC ORTHODONTC TX VISIT 465.00
D8680 1 ORTHODONTIC RETENTION 0.00
D8690 1 ORTHODONTIC TREATMENT 0.00
D8691 1 REPAIR ORTHO APPLIANCE 0.00
D8692 1 REPLACEMENT RETAINER 0.00
D8693 9 REBOND/CEMENT/REPAIR RETAIN 0.00
D8750 O POST-TREATMENT STABILIZATION 0.00
D8999 1 ORTHODONTIC PROCEDURE 0.00
D9110 1 TX DENTAL PAIN MINOR PROC 0.00
D9120 1 FIX PARTIAL DENTURE SECTION 0.00
D9210 1 DENT ANESTHESIA W/O SURGERY 0.00
D9211 9 REGIONAL BLOCK ANESTHESIA 0.00
D9212 9 TRIGEMINAL BLOCK ANESTHESIA 0.00
D9215 9 LOCAL ANESTHESIA 0.00
D9220 1 GENERAL ANESTHESIA 0.00
D9221 1 GENERAL ANESTHESIA EA AD 15M 0.00
D9230 1 ANALGESIA 0.00
D9240 9 INTRAVENOUS SEDATION 0.00
D9241 1 INTRAVENOUS SEDATION 0.00
D9242 1 IV SEDATION EA AD 30 M 0.00
D9248 1 SEDATION (NON-IV) 0.00
D9310 1 DENTAL CONSULTATION 0.00