| Item Number | Description | Schedule Fee |
|---|---|---|
| 88314 | Sectional removal of a tooth or part(s) thereof - first tooth extracted on a day The removal of a tooth or part(s) thereof in sections. Bone removal may be necessary. Inclusive of the insertion of sutures, normal postoperative care and suture removal. |
$190.00 |
| Total: | $190.00 | |