SURGICAL SERVICES (INCLUDING USUAL POSTOPERATIVE CARE)

SURGICAL SERVICES (INCLUDING USUAL POSTOPERATIVE CARE) | July 15, 2024

MESIAL/DISTAL WEDGE PROCEDURE, SINGLE TOOTH (WHEN NOT PERFORMED IN CONJUNCTION WITH SURGICAL PROCEDURES IN THE SAME ANATOMICAL AREA)

SURGICAL SERVICES (INCLUDING USUAL POSTOPERATIVE CARE) | July 15, 2024

NON-AUTOGENOUS CONNECTIVE TISSUE GRAFT (INCLUDING RECIPIENT SITE AND DONOR MATERIAL) FIRST TOOTH, IMPLANT, OR EDENTULOUS TOOTH POSITION IN GRAFT

SURGICAL SERVICES (INCLUDING USUAL POSTOPERATIVE CARE) | July 15, 2024

COMBINED CONNECTIVE TISSUE AND PEDICLE GRAFT, PER TOOTH

SURGICAL SERVICES (INCLUDING USUAL POSTOPERATIVE CARE) | July 15, 2024

FREE SOFT TISSUE GRAFT PROCEDURE (INCLUDING RECIPIENT AND DONOR SURGICAL SITES) FIRST TOOTH, IMPLANT, OR EDENTULOUS TOOTH POSITION IN GRAFT

SURGICAL SERVICES (INCLUDING USUAL POSTOPERATIVE CARE) | July 15, 2024

FREE SOFT TISSUE GRAFT PROCEDURE (INCLUDING RECIPIENT AND DONOR SURGICAL SITES) EACH ADDITIONAL CONTIGUOUS TOOTH, IMPLANT, OR EDENTULOUS TOOTH POSITION IN SAME GRAFT SITE