Preventative
Adult prophy
D1110
Quad Root Debridement (4+)
D4341
FMX
D0210
Occlusal Guard
D9940
1st PA
D0220
Child Prophy
D1120
Quad Root Debridement (1-3)
D4342
4 BWX
D0274
Bleach Trays
D9972
Intra-Oral Photos
D0350
Fluoride Varnish
D1206
Periodontal Maintenance
D4910
Pano
D0330
Nitrous
D9230
Limited Re-evaluation Post-Operative
D0171
Sealant
D1351
Gingival Irrigation
D4921
6 Month Checkup Exam
D0120
Oral Cancer Screening
D0431
Tobacco Counseling
D1320
Oral Hygiene Education
D1330
Antimicrobial Agents
D4381
New Patient Exam
D0150
Office Dispensing of Medicaments
-FL2, CHX, Antibiotics, Analgesics, MI Paste
D9630
Vertical BWX
D0277