Description - DE Medical Assistance Program

D2791 CROWN FULL CAST BASE METAL 80
D2792 CROWN FULL CAST NOBLE METAL 80
D2799 PROVISIONAL CROWN 80
D2910 RECEMENT INLAY ONLAY OR PART 80
D2915 RECEMENT CAST OR PREFAB POST 80
D2920 DENTAL RECEMENT CROWN 80
D2930 PREFAB STNLSS STEEL CRWN PRI 80
D2931 PREFAB STNLSS STEEL CROWN PE 80
D2932 PREFABRICATED RESIN CROWN 80
D2933 PREFAB STAINLESS STEEL CROWN 80
D2934 PREFAB STEEL CROWN PRIMARY 80
D2940 DENTAL SEDATIVE FILLING 80
D2950 CORE BUILD-UP INCL ANY PINS 80
D2951 TOOTH PIN RETENTION 80
D2952 POST AND CORE CAST + CROWN 80
D2953 EACH ADDTNL CAST POST 80
D2954 PREFAB POST/CORE + CROWN 80
D2955 POST REMOVAL 80
D2957 EACH ADDTNL PREFAB POST 80
D2970 TEMP CROWN (FRACTURED TOOTH) 80
D2980 CROWN REPAIR 80
D2999 DENTAL UNSPEC RESTORATIVE PR 80
D3110 PULP CAP DIRECT 80
D3120 PULP CAP INDIRECT 80
D3220 THERAPEUTIC PULPOTOMY 80
D3221 GROSS PULPAL DEBRIDEMENT 80
D3222 PART PULP FOR APEXOGENESIS 80
D3230 PULPAL THERAPY ANTERIOR PRIM 80
D3240 PULPAL THERAPY POSTERIOR PRI 80
D3310 END THXPY, ANTERIOR TOOTH 80
D3320 END THXPY, BICUSPID TOOTH 80
D3330 END THXPY, MOLAR 80
D3332 INCOMPLETE ENDODONTIC TX 80
D3333 INTERNAL ROOT REPAIR 80
D3346 RETREAT ROOT CANAL ANTERIOR 80