feat(ProcedureCodes updated)

This commit is contained in:
2025-10-01 23:01:27 +05:30
parent 82e3651ba4
commit 0d4458b163
10 changed files with 2639 additions and 229 deletions

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@@ -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",