MSP Billing Codes
Specialty: Dental Technical Procedures
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Code | Description | Fee |
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Appliances - Removable / Retention (Splint) |
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03825 | Appliances, removable, retention (splint) mandibul | $316.85 |
03824 | Appliances, removable, retention (splint) maxillar | $316.85 |
03826 | Appliances/removable/retention(splint) - palatal | $63.36 |
Cephalometric Radiographs |
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03804 | Cephalometric radiographs pre-treatment post-treat | $40.97 |
03805 | Cephalometric radiographs pre-treatment post-treat | $67.87 |
03806 | Cephalometric radiographs pre-treatment post-treat | $26.91 |
03807 | Cephalometric tracing/interpretation pre-treatment | $76.05 |
Intraoral Radiographs |
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03841 | Occlusal - single film | $20.91 |
03842 | Occlusal - two films | $30.93 |
03835 | Periapical - five films | $39.99 |
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03834 | Periapical - four films | $34.03 |
03831 | Periapical - single film | $16.00 |
03836 | Periapical - six films | $46.00 |
03833 | Periapical - three films | $28.03 |
03832 | Periapical - two films | $22.05 |
Miscellaneous |
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03803 | Panoramic radiographs pre-treatment post-treatment | $62.74 |
Radiographs / Duplications |
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03820 | Casts, diagnostic, mounted using facebow and occlu | $301.28 |
03819 | Casts, diagnostic, mounted, one or more sets maybe | $82.53 |
03822 | Diagnostic (ghathological wax-up) model surgery tw | $152.10 |
03821 | Diagnostic (gnathological wax-up) model surgery on | $76.05 |
03823 | Diagnostic (gnathological wax-up) model surgery th | $228.14 |
03817 | Diagnostic models, upper and lower | $69.43 |
03818 | Duplicate models, upper and lower | $38.03 |
03816 | Photographs, each additional | $5.45 |
03815 | Photographs, first photograph | $16.41 |
03847 | Radiographs/duplications - each additional | $4.20 |
03844 | Radiographs/duplications - single film | $7.36 |
03846 | Radiographs/duplications - three films | $21.88 |
03845 | Radiographs/duplications - two films | $14.50 |
TMJ Radiographs |
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03830 | Tmj radiographs - each additional film over four | $26.91 |
03811 | Tmj radiographs, radiographs, tmj one film | $40.97 |
03814 | Tmj radiographs, radiographs, tmj, four films | $124.21 |
03813 | Tmj radiographs, radiographs, tmj, three films | $94.54 |
03812 | Tmj radiographs, radiographs, tmj, two films | $67.87 |
03809 | Tmj radiographs, tomography, single view | $56.31 |
03810 | Tmj radiographs, tomography, two views | $70.56 |
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.
MSP Billing Codes
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