| Item Number | Description | Schedule Fee |
|---|---|---|
| 88221 | Clinical periodontal analysis and recording This is a special examination performed as part of the diagnosis and management of periodontal disease. The procedure consists of assessing and recording a patient's periodontal condition. All teeth and six sites per tooth must be recorded. Written documentation of these measurements must be retained. |
$59.95 |
| Total: | $59.95 | |