feat(ProcedureCodes updated)
This commit is contained in:
@@ -1,48 +1,105 @@
|
||||
[
|
||||
{
|
||||
"Procedure Code": "D0120",
|
||||
"Description": "perio exam",
|
||||
"Price": "105"
|
||||
"Description": "Periodic oral evaluation - established patient",
|
||||
"PriceLTEQ21": "31",
|
||||
"PriceGT21": "24"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D0140",
|
||||
"Description": "limited exam",
|
||||
"Price": "90"
|
||||
"Description": "Limited oral evaluation - problem focused",
|
||||
"PriceLTEQ21": "49",
|
||||
"PriceGT21": "43"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D0145",
|
||||
"Description": "Oral evaluation for a patient under three years of age and counseling with primary caregiver",
|
||||
"PriceLTEQ21": "27",
|
||||
"PriceGT21": "NC"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D0150",
|
||||
"Description": "comprehensive exam",
|
||||
"Price": "120"
|
||||
"Description": "Comprehensive oral evaluation - new or established patient",
|
||||
"PriceLTEQ21": "62",
|
||||
"PriceGT21": "41"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D0180",
|
||||
"Description": "Comprehensive periodontal evaluation - new or established patient",
|
||||
"PriceLTEQ21": "58",
|
||||
"PriceGT21": "37"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D0190",
|
||||
"Description": "Screening of a patient (PHDH only)",
|
||||
"PriceLTEQ21": "29",
|
||||
"PriceGT21": "20"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D0191",
|
||||
"Description": "Assessment of a patient (PHDH only)",
|
||||
"PriceLTEQ21": "29",
|
||||
"PriceGT21": "20"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D0210",
|
||||
"Description": "Fmx.",
|
||||
"Price": "120"
|
||||
"Description": "Intraoral - complete series of radiographic images",
|
||||
"PriceLTEQ21": "94",
|
||||
"PriceGT21": "76"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D0220",
|
||||
"Description": "first PA.",
|
||||
"Price": "60"
|
||||
"Description": "Intraoral - periapical, first radiographic image",
|
||||
"PriceLTEQ21": "21",
|
||||
"PriceGT21": "15"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D0230",
|
||||
"Description": "2nd PA.",
|
||||
"Price": "50"
|
||||
"Description": "Intraoral - periapical, each additional radiographic image",
|
||||
"PriceLTEQ21": "17",
|
||||
"PriceGT21": "13"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D0240",
|
||||
"Description": "Intraoral - occlusal radiographic image",
|
||||
"PriceLTEQ21": "26",
|
||||
"PriceGT21": "NC"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D0270",
|
||||
"Description": "Bitewing - single radiographic image",
|
||||
"PriceLTEQ21": "17",
|
||||
"PriceGT21": "14"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D0272",
|
||||
"Description": "2 BW",
|
||||
"Price": "80"
|
||||
"Description": "Bitewings - two radiographic images",
|
||||
"PriceLTEQ21": "32",
|
||||
"PriceGT21": "25"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D0273",
|
||||
"Description": "Bitewings - three radiographic images",
|
||||
"PriceLTEQ21": "35",
|
||||
"PriceGT21": "27"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D0274",
|
||||
"Description": "4BW",
|
||||
"Price": "160"
|
||||
"Description": "Bitewings - four radiographic images",
|
||||
"PriceLTEQ21": "46",
|
||||
"PriceGT21": "36"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D0330",
|
||||
"Description": "pano",
|
||||
"Price": "150"
|
||||
"Description": "Panoramic radiographic image",
|
||||
"PriceLTEQ21": "94",
|
||||
"PriceGT21": "69"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D0340",
|
||||
"Description": "Cephalometric radiograph image (Oral surgeon only)",
|
||||
"PriceLTEQ21": "85",
|
||||
"PriceGT21": "74"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D0364",
|
||||
@@ -91,23 +148,129 @@
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D1110",
|
||||
"Description": "adult prophy",
|
||||
"Price": "150"
|
||||
"Description": "Prophylaxis – adult, 14 yo or older",
|
||||
"PriceLTEQ21": "75",
|
||||
"PriceGT21": "60"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D1120",
|
||||
"Description": "child prophy",
|
||||
"Price": "120"
|
||||
"Description": "Prophylaxis – child, 0-13 yo",
|
||||
"PriceLTEQ21": "55",
|
||||
"PriceGT21": "NC"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D1206",
|
||||
"Description": "Topical application of fluoride varnish",
|
||||
"PriceLTEQ21": "28",
|
||||
"PriceGT21": "26"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D1208",
|
||||
"Description": "FL",
|
||||
"Price": "90"
|
||||
"Description": "Topical application of fluoride – excluding varnish",
|
||||
"PriceLTEQ21": "31",
|
||||
"PriceGT21": "29"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D1351",
|
||||
"Description": "sealant",
|
||||
"Price": "80"
|
||||
"Description": "Sealant – per tooth",
|
||||
"PriceLTEQ21": "44",
|
||||
"PriceGT21": "NC"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D1354",
|
||||
"Description": "Application of caries arresting medicament - per tooth",
|
||||
"PriceLTEQ21": "15",
|
||||
"PriceGT21": "15"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D1510",
|
||||
"Description": "Space maintainer – fixed,unilateral – per quadrant",
|
||||
"PriceLTEQ21": "229",
|
||||
"PriceGT21": "NC"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D1516",
|
||||
"Description": "Space maintainer- fixed- bilateral, maxillary",
|
||||
"PriceLTEQ21": "345",
|
||||
"PriceGT21": "NC"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D1517",
|
||||
"Description": "Space maintainer- fixed- bilateral, mandibular",
|
||||
"PriceLTEQ21": "345",
|
||||
"PriceGT21": "NC"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D1520",
|
||||
"Description": "Space maintainer – removable- unilateral- per quadrant",
|
||||
"PriceLTEQ21": "244",
|
||||
"PriceGT21": "NC"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D1526",
|
||||
"Description": "Space maintainer- removable- bilateral, maxillary",
|
||||
"PriceLTEQ21": "368",
|
||||
"PriceGT21": "NC"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D1527",
|
||||
"Description": "Space maintainer- removable- bilateral, mandibular",
|
||||
"PriceLTEQ21": "368",
|
||||
"PriceGT21": "NC"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D1575",
|
||||
"Description": "Distal shoe space maintainer - fixed- unilateral- Per Quadrant I.C",
|
||||
"PriceLTEQ21": "NC",
|
||||
"PriceGT21": "NC"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D1701",
|
||||
"Description": "Pfizer-BioNTech Covid-19 vaccine administration – first dose SARSCOV2 COVID-19 VAC mRNA 30mcg/0.3mL IM DOSE 1",
|
||||
"PriceLTEQ21": "45.87",
|
||||
"PriceGT21": "45.87"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D1702",
|
||||
"Description": "Pfizer-BioNTech Covid-19 vaccine administration – second dose SARSCOV2 COVID-19 VAC mRNA 30mcg/0.3mL IM DOSE 2",
|
||||
"PriceLTEQ21": "45.87",
|
||||
"PriceGT21": "45.87"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D1707",
|
||||
"Description": "Janssen Covid-19 vaccine administration SARSCOV2 COVID-19 VAC Ad26 5x1010 VP/.5mL IM SINGLE DOSE",
|
||||
"PriceLTEQ21": "45.87",
|
||||
"PriceGT21": "45.87"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D1708",
|
||||
"Description": "Pfizer-BioNTech Covid-19 vaccine administration – third dose",
|
||||
"PriceLTEQ21": "45.87",
|
||||
"PriceGT21": "45.87"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D1709",
|
||||
"Description": "Pfizer-BioNTech Covid-19 vaccine administration – booster dose",
|
||||
"PriceLTEQ21": "45.87",
|
||||
"PriceGT21": "45.87"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D1712",
|
||||
"Description": "Janssen Covid-19 vaccine administration - booster dose",
|
||||
"PriceLTEQ21": "45.87",
|
||||
"PriceGT21": "45.87"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D1713",
|
||||
"Description": "Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric – first dose",
|
||||
"PriceLTEQ21": "45.87",
|
||||
"PriceGT21": "45.87"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D1714",
|
||||
"Description": "Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric – second dose",
|
||||
"PriceLTEQ21": "45.87",
|
||||
"PriceGT21": "45.87"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D1999",
|
||||
@@ -116,13 +279,15 @@
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D2140",
|
||||
"Description": "amalgam, one surface",
|
||||
"Price": "150"
|
||||
"Description": "Amalgam-one surface, primary or permanent",
|
||||
"PriceLTEQ21": "77",
|
||||
"PriceGT21": "62"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D2150",
|
||||
"Description": "amalgam, two surface",
|
||||
"Price": "200"
|
||||
"Description": "Amalgam-two surfaces, primary or permanent",
|
||||
"PriceLTEQ21": "95",
|
||||
"PriceGT21": "77"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D2955",
|
||||
@@ -930,8 +1095,8 @@
|
||||
{
|
||||
"Procedure Code": "D8999",
|
||||
"Description": "Unspecified orthodontic procedure, by report (Orthodontist only) I.C I.C** Y Y**",
|
||||
"PriceLTEQ21": "IC",
|
||||
"PriceGT21": "IC"
|
||||
"PriceLTEQ21": "NC",
|
||||
"PriceGT21": "NC"
|
||||
},
|
||||
{
|
||||
"Procedure Code": "D9110",
|
||||
|
||||
Reference in New Issue
Block a user