| Item Number | Description | Schedule Fee |
|---|---|---|
| 51800 | Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation mentioned in an item that includes “(Assist.)” for which the fee does not exceed $651.30 or at a series or combination of operations mentioned in an item in Groups O3 to O9 that include “(Assist.)” for which the aggregate fee does not exceed $651.30 (H) |
$100.65 |
| Total: | $100.65 | |