Specialty Practices (non-surgical)

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Service Description	CPT Code	Charge Type	Speciality Practice Price
DENTAL PROPHYLAXIS ADULT PP	D1110	Prof	$91.50
DENTAL PROPHYLAXIS CHILD PP	D1120	Prof	$67.57
DENTAL SEALANT PER TOOTH PP	D1351	Prof	$58.78
DENTUR REPR BROKEN COMPL BAS PP	D5510	Prof	$217.02
DENTURES REPAIR RESIN BASE PP	D5610	Prof	$205.69
DESTR TRIGEM NRV,SUPRAORB BR PP	64624	Prof	$379.85
DESTR TRIGEM NRV,SUPRAORB BR PPG	64624	Prof	$379.85
DESTR TRIGEM NRV,SUPRAORB BR TP	64624	Tech	$1707.72
Destruction by neurolytic agent, intercostal nerve PP	64999	Prof	$403.66
DESTRUCTION LESIONS VULVA, EXTENSIVE PP	56515	Prof	$496.48
DESTRUCTION LESIONS VULVA, SIMPLE PP	56501	Prof	$287.83
DESTRUCTION LESIONS, PENIS, CHEMICAL PP	54050	Prof	$236.47
DESTRUCTION LESIONS, PENIS, CRYO PP	54056	Prof	$293.18
DESTRUCTION OF LESIONS(S), ANUS(EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), SIMPLE, CHEMICAL PP	46900	Prof	$316.72
DESTRUCTION OF LESIONS(S), ANUS(EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), SIMPLE, CRYOSURGERY PP	46916	Prof	$326.35
DESTRUCTION OF SKIN LESIONS PP	17106	Prof	$776.82
DESTRUCTION VAG LESIONS, EXTENSIVE PP	57065	Prof	$429.07
DESTRUCTION VAG LESIONS, SIMPLE PP	57061	Prof	$247.17
DESTRUCTION, LESION, 2.1-3.0 CM PP	17283	Prof	$408.74
DESTRUCTION,BENIGN LESIONS,NOT SKIN TAGS,=>15 LESIONS PP	17111	Prof	$234.33