[
    {
        "Procedure Code": "D1999",
        "Description": "",
        "Price": "50"
    },
    {
        "Procedure Code": "D0120",
        "Description": "perio exam",
        "Price": "105"
    },
    {
        "Procedure Code": "D0140",
        "Description": "limited exam",
        "Price": "90"
    },
    {
        "Procedure Code": "D0150",
        "Description": "comprehensive exam",
        "Price": "120"
    },
    {
        "Procedure Code": "D0210",
        "Description": "Fmx.",
        "Price": "120"
    },
    {
        "Procedure Code": "D0220",
        "Description": "first PA.",
        "Price": "60"
    },
    {
        "Procedure Code": "D0230",
        "Description": "2nd PA.",
        "Price": "50"
    },
    {
        "Procedure Code": "D0330",
        "Description": "pano",
        "Price": "150"
    },
    {
        "Procedure Code": "D0272",
        "Description": "2 BW",
        "Price": "80"
    },
    {
        "Procedure Code": "D0274",
        "Description": "4BW",
        "Price": "160"
    },
    {
        "Procedure Code": "D1110",
        "Description": "adult prophy",
        "Price": "150"
    },
    {
        "Procedure Code": "D1120",
        "Description": "child prophy",
        "Price": "120"
    },
    {
        "Procedure Code": "D1351",
        "Description": "sealant",
        "Price": "80"
    },
    {
        "Procedure Code": "D4341",
        "Description": "srp",
        "Price": "250"
    },
    {
        "Procedure Code": "D4910",
        "Description": "perio maintains",
        "Price": "250"
    },
    {
        "Procedure Code": "D1208",
        "Description": "FL",
        "Price": "90"
    },
    {
        "Procedure Code": "D2330",
        "Description": "front composite. 1 s.",
        "Price": "180"
    },
    {
        "Procedure Code": "D2331",
        "Description": "2s",
        "Price": "220"
    },
    {
        "Procedure Code": "D2332",
        "Description": "3s",
        "Price": "280"
    },
    {
        "Procedure Code": "D2335",
        "Description": "4s or more",
        "Price": "350"
    },
    {
        "Procedure Code": "D2391",
        "Description": "back. 1s",
        "Price": "200"
    },
    {
        "Procedure Code": "D2392",
        "Description": "2s",
        "Price": "250"
    },
    {
        "Procedure Code": "D2393",
        "Description": "3s",
        "Price": "280"
    },
    {
        "Procedure Code": "D2394",
        "Description": "4s",
        "Price": "320"
    },
    {
        "Procedure Code": "D2140",
        "Description": "amalgam, one surface",
        "Price": "150"
    },
    {
        "Procedure Code": "D2150",
        "Description": "amalgam, two surface",
        "Price": "200"
    },
    {
        "Procedure Code": "D2750",
        "Description": "high noble",
        "Price": "1300"
    },
    {
        "Procedure Code": "D2751",
        "Description": "base metal",
        "Price": "1200"
    },
    {
        "Procedure Code": "D2740",
        "Description": "crown porcelain",
        "Price": "1300"
    },
    {
        "Procedure Code": "D2954",
        "Description": "p/c",
        "Price": "450"
    },
    {
        "Procedure Code": "D7910",
        "Description": "suture, small wound up to 5 mm",
        "Price": "400"
    },
    {
        "Procedure Code": "D5110",
        "Description": "FU",
        "Price": "1200",
        "Full Price": "1700"
    },
    {
        "Procedure Code": "D5120",
        "Description": "FL",
        "Price": "1700",
        "Full Price": "1700"
    },
    {
        "Procedure Code": "D5211",  
        "Description": "pu",
        "Price": "1300"
    },
    {
        "Procedure Code": "D5212",
        "Description": "pl",
        "Price": "1300"
    },
    {
        "Procedure Code": "D5213",
        "Description": "cast pu.",
        "Price": "1700"
    },
    {
        "Procedure Code": "D5214",
        "Description": "cast pl",
        "Price": "1700"
    },
    {
        "Procedure Code": "D5510",
        "Description": "Repair broken complete denture base (QUAD)",
        "Price": "400"
    },
    {
        "Procedure Code": "D5520",
        "Description": "Replace missing or broken teeth - complete denture (each tooth) (TOOTH)",
        "Price": "200"
    },
    {
        "Procedure Code": "D5750",
        "Description": "lab reline",
        "Price": "600"
    },
    {
        "Procedure Code": "D5730",
        "Description": "chairside reline",
        "Price": "500"
    },
    {
        "Procedure Code": "D2920",
        "Description": "re cement crown",
        "Price": "120"
    },
    {
        "Procedure Code": "D2950",
        "Description": "core buildup",
        "Price": "350"
    },
    {
        "Procedure Code": "D2955",
        "Description": "post renoval",
        "Price": "350"
    },
    {
        "Procedure Code": "D6100",
        "Description": "",
        "Price": "320"
    },
    {
        "Procedure Code": "D6110",
        "Description": "implant",
        "Price": "1600"
    },
    {
        "Procedure Code": "D6056",
        "Description": "pre fab abut",
        "Price": "750"
    },
    {
        "Procedure Code": "D6057",
        "Description": "custom abut",
        "Price": "800"
    },
    {
        "Procedure Code": "D6058",
        "Description": "porcelain, implant crown, ceramic crown",
        "Price": "1400"
    },
    {
        "Procedure Code": "D6059",
        "Description": "",
        "Price": "1400"
    },
    {
        "Procedure Code": "D6242",
        "Description": "noble metal. For united",
        "Price": "1400"
    },
    {
        "Procedure Code": "D6245",
        "Description": "porcelain, not for united",
        "Price": "1400"
    },
    {
        "Procedure Code": "D0367",
        "Description": "",
        "Price": "400"
    },
    {
        "Procedure Code": "D0364",
        "Description": "Less than one jaw",
        "Price": "350"
    },
    {
        "Procedure Code": "D0365",
        "Description": "Mand",
        "Price": "350"
    },
    {
        "Procedure Code": "D0366",
        "Description": "Max",
        "Price": "350"
    },
    {
        "Procedure Code": "D0368",
        "Description": "include TMJ",
        "Price": "375"
    },
    {
        "Procedure Code": "D0383",
        "Description": "",
        "Price": "350"
    },
    {
        "Procedure Code": "D0380",
        "Description": "Less than one jaw",
        "Price": "300"
    },
    {
        "Procedure Code": "D0381",
        "Description": "Mand",
        "Price": "300"
    },
    {
        "Procedure Code": "D0382",
        "Description": "Max",
        "Price": "300"
    },
    {
        "Procedure Code": "D7950",
        "Description": "max",
        "Price": "800"
    },
    {
        "Procedure Code": "D7140",
        "Description": "simple ext",
        "Price": "150"
    },
    {
        "Procedure Code": "D7210",
        "Description": "surgical ext",
        "Price": "280"
    },
    {
        "Procedure Code": "D7220",
        "Description": "soft impacted",
        "Price": "380"
    },
    {
        "Procedure Code": "D7230",
        "Description": "partial bony",
        "Price": "450"
    },
    {
        "Procedure Code": "D7240",
        "Description": "fully bony",
        "Price": "550"
    },
    {
        "Procedure Code": "D3320",
        "Description": "pre M RCT",
        "Price": "1050"
    }
]