Provider_Fee_Schedule - Maryland
Fee Schedule Report . FEE SCHEDULE . MARYLAND_MEDICAID. FEE SCHEDULE TYPE. Fee Based. EFFECTIVE /TERM DATE. 01/01/2015 - No Term. Page 4 of 5. CODE. DENTAL PROCEDURE DESCRIPTION. UNITS FROM. UNITS TO. VALUE. D0120. Periodic Oral Evaluation - Established Patient ... (Emergency) Treatment Of Dental Pain - Minor Procedure. 1. 999. 20.00. D9222 ... ................
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