Provider_Fee_Schedule - Maryland
Fee Schedule Report . FEE SCHEDULE . MARYLAND_MEDICAID. FEE SCHEDULE TYPE. Fee Based. EFFECTIVE /TERM DATE. ... Osseous Surgery (Including Elevation Of A Full Thickness Flap And Closure) - Four Or More Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant ... Hospital Or Ambulatory Surgical Center Call. 1. 999. 15.00. D9910. Application Of ... ................
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