MSP Billing Codes

Specialty: Dental Technical Procedures

Code Description Fee
3824 Appliances, removable, retention (splint) maxillar $316.85
3825 Appliances, removable, retention (splint) mandibul $316.85
3826 Appliances/removable/retention(splint) - palatal $63.36
3804 Cephalometric radiographs pre-treatment post-treat $40.97
3805 Cephalometric radiographs pre-treatment post-treat $67.87
3806 Cephalometric radiographs pre-treatment post-treat $26.91
3807 Cephalometric tracing/interpretation pre-treatment $76.05
3831 Periapical - single film $16.00
3832 Periapical - two films $22.05
3833 Periapical - three films $28.03

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3834 Periapical - four films $34.03
3835 Periapical - five films $39.99
3836 Periapical - six films $46.00
3841 Occlusal - single film $20.91
3842 Occlusal - two films $30.93
3803 Panoramic radiographs pre-treatment post-treatment $62.74
3815 Photographs, first photograph $16.41
3816 Photographs, each additional $5.45
3817 Diagnostic models, upper and lower $69.43
3818 Duplicate models, upper and lower $38.03
3819 Casts, diagnostic, mounted, one or more sets maybe $82.53
3820 Casts, diagnostic, mounted using facebow and occlu $301.28
3821 Diagnostic (gnathological wax-up) model surgery on $76.05
3822 Diagnostic (ghathological wax-up) model surgery tw $152.10
3823 Diagnostic (gnathological wax-up) model surgery th $228.14
3844 Radiographs/duplications - single film $7.36
3845 Radiographs/duplications - two films $14.50
3846 Radiographs/duplications - three films $21.88
3847 Radiographs/duplications - each additional $4.20
3809 Tmj radiographs, tomography, single view $56.31
3810 Tmj radiographs, tomography, two views $70.56
3811 Tmj radiographs, radiographs, tmj one film $40.97
3812 Tmj radiographs, radiographs, tmj, two films $67.87
3813 Tmj radiographs, radiographs, tmj, three films $94.54
3814 Tmj radiographs, radiographs, tmj, four films $124.21
3830 Tmj radiographs - each additional film over four $26.91

The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.

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