Specialty Practices (non-surgical)

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Service Description	CPT Code	Charge Type	Speciality Practice Price
preventive resin restoration in a moderate to high caries risk patient - permanent tooth PP	D1352	Prof	$104.14
PREVENTIVE,INITIAL,1-4YRS PP	99382	Prof	$326.35
PREVENTIVE,INITIAL,12-17YRS PP	99384	Prof	$384.13
PREVENTIVE,INITIAL,18-39YRS PP	99385	Prof	$372.36
PREVENTIVE,INITIAL,40-64YRS PP	99386	Prof	$430.14
PREVENTIVE,INITIAL,5-11YRS PP	99383	Prof	$340.26
PREVENTIVE,INITIAL,<1YR PP	99381	Prof	$311.37
PREVENTIVE,INITIAL,=>65YRS PP	99387	Prof	$466.52
PRO TIME PP	85610	Tech	$40.66
PROBING,LACRIMAL CANALICULI,W/WO IRRIGATION PP	68840	Prof	$265.36
PROBING,NASOLACRIMAL DUCT PP	68801	Prof	$249.31
PROBING,NASOLACRIMAL DUCT,W/WO IRRIGATION PP	68810	Prof	$441.91
PROBING,NASOLACRIMAL DUCT,W/WO IRRIGATION,W INSERT TUBE/STENT PP	68815	Prof	$610.97
PROCTECTOMY,PARTIAL RESECTION,RECTUM,TRANSABD APPROACH PP	45111	Prof	$2505.94
PROCTECTOMY,PARTIAL,WO ANASTOMOSIS,PERINEAL APPROACH PP	45123	Prof	$2584.05
PROCTECTOMY,W COLOSTOMY,COMPLETE PP	45110	Prof	$4266.09
PROCTOPEXY,ABDOMINAL APPROACH PP	45540	Prof	$2457.79
PROCTOPEXY,PERINEAL APPROACH PP	45541	Prof	$2179.59
PROCTOPEXY,SIGMOID RESECTION,ABDOMINAL APPROACH PP	45550	Prof	$3383.34
PROCTOPLASTY,PROLAPSE MUCOUS MEMBRANE PP	45505	Prof	$1359.97