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<br />--- ~-~~ --- <br /> <br />~~~~~~. ~ ~-~ -~- -~- <br /> <br />Denture reline procedures <br /> <br />05730 <br />05731 <br />05740 <br />05741 <br />05750 <br />05751 <br />05760 <br />05761 <br /> <br />Reline <br />Reline <br />Reline <br />Reline <br />Reline <br />Reline <br />Reline <br />Reline <br /> <br />complete upper denture (chairside) <br />complete lower denture (chairside) <br />upper partial denture (chairs ide) <br />lower partial denture (chairs ide) <br />complete upper denture (laboratory) <br />complete lower denture (laboratory) <br />upper partial denture (laboratory) <br />lower partial denture (laboratory) <br /> <br />Other removable prosthetic services <br /> <br />05820 <br />05821 <br />05850 <br />05851 <br /> <br />Temporary partial -- <br />Temporary partial -- <br />Tissue conditioning, <br />Tissue conditioning, <br /> <br />stayp1ate denture (upper) <br />stayplate denture (lower) <br />upper -- denture <br />lower -- denture <br /> <br />06200-06999 -- PROSTHODONTICS, FIXED <br />(Each abutment and each pontic constitutes <br />bridge) <br /> <br />a uni t <br /> <br />in <br /> <br />Bridge pontics <br /> <br />06210 <br />06211 <br />06212 <br />06240 <br />06241 <br />06242 <br /> <br />Retainers <br /> <br />06520 <br />06530 <br />06540 <br />06545 <br /> <br />------~- <br /> <br />Pontic -- cast high noble metal <br />Pontic -- cast predominantly base <br />Pontic -- cast noble metal <br />Pontic -- porcelain fused to <br />Pontic -- porcelain fused to <br />Pontic -- porcelain fused to <br /> <br />metal <br /> <br />high noble metal <br />predominantly base metal <br />noble metal <br /> <br />Inlay -- metallic -- two surfaces <br />Inlay -- metallic -- three or more surfaces <br />Onlay -- metallic per tooth in addition to inlay <br />Retainer -- cast metal for acid etch bridge <br /> <br />7 <br /> <br />-~~----- ----_u_-- <br /> <br />~------ <br />--- <br />