CarePlus-Careington Dental Plan Provider Schedule: PL01

CarePlus-Careington Dental Plan D0230 Intraoral - periapical each additional radiographic $8 image D0150 $22 Gingivectomy or gingivoplasty - four or more contiguous teeth or tooth bounded spaces per quadrant D4210 $329 D4341 Periodontal scaling and root planing - four or more teeth per quadrant $109 ................
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