[
  {
    "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": "D0272",
    "Description": "2 BW",
    "Price": "80"
  },
  {
    "Procedure Code": "D0274",
    "Description": "4BW",
    "Price": "160"
  },
  {
    "Procedure Code": "D0330",
    "Description": "pano",
    "Price": "150"
  },
  {
    "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": "D0367",
    "Description": "",
    "Price": "400"
  },
  {
    "Procedure Code": "D0368",
    "Description": "include TMJ",
    "Price": "375"
  },
  {
    "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": "D0383",
    "Description": "",
    "Price": "350"
  },
  {
    "Procedure Code": "D1110",
    "Description": "adult prophy",
    "Price": "150"
  },
  {
    "Procedure Code": "D1120",
    "Description": "child prophy",
    "Price": "120"
  },
  {
    "Procedure Code": "D1208",
    "Description": "FL",
    "Price": "90"
  },
  {
    "Procedure Code": "D1351",
    "Description": "sealant",
    "Price": "80"
  },
  {
    "Procedure Code": "D1999",
    "Description": "",
    "Price": "50"
  },
  {
    "Procedure Code": "D2140",
    "Description": "amalgam, one surface",
    "Price": "150"
  },
  {
    "Procedure Code": "D2150",
    "Description": "amalgam, two surface",
    "Price": "200"
  },
  {
    "Procedure Code": "D2955",
    "Description": "post renoval",
    "Price": "350"
  },
  {
    "Procedure Code": "D4910",
    "Description": "perio maintains",
    "Price": "250"
  },
  {
    "Procedure Code": "D5510",
    "Description": "Repair broken complete denture base (QUAD)",
    "Price": "400"
  },
  {
    "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": "D6100",
    "Description": "",
    "Price": "320"
  },
  {
    "Procedure Code": "D6110",
    "Description": "implant",
    "Price": "1600"
  },
  {
    "Procedure Code": "D6242",
    "Description": "noble metal. For united",
    "Price": "1400"
  },
  {
    "Procedure Code": "D6245",
    "Description": "porcelain, not for united",
    "Price": "1400"
  },
  {
    "Procedure Code": "D7910",
    "Description": "suture, small wound up to 5 mm",
    "Price": "400"
  },
  {
    "Procedure Code": "D7950",
    "Description": "max",
    "Price": "800"
  }
]