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i <br /> i <br /> Description Current.Fee Proposed Fee FY 2009-10 Last Revision <br /> Alveoplasty extractions 1 uad. $108.00 $118.00 2007 <br /> Alveloplasty in conjunction with extraction 1-3 teeth <br /> per quadrant $104.00 $118.00 2007 <br /> Alveloplasty not in conjunction with extraction 4 or <br /> more tooth spaces per quadrant $182.00 $189.00 2007 <br /> Alveloplasty not in conjunction with extraction 1-3 <br /> tooth spaces per quadrant $156.00 $162.00 2007 <br /> Recement Crown NOT cov. by MA $55.00 $57.00 2007 <br /> Study_Models $50.00 $53.00 2047 <br /> 1 & D Minor SuLgery $1 68.00 $1 86.00 2007 <br /> Occulsal Adjustment Limited $83.00 $86.00 2007 <br /> Fractured Tooth Txt. $67.00 $70.00 2007 <br /> Pulp Cap-direct ex p._Pulp MED $44.00 $46.00 2007 <br /> Pulp Cap-indirect nearly exposed $44.00 $46.00 2007 <br /> Biopsy Oral Tissue $144.40 $151.00 2407 <br /> Pin Retention/tooth $29.00 $30.00 2007 <br /> Band & Loop/Quadrant Deliver 209125 $230.00 $264.00 2007 <br /> Fixed Bilateral Deliver 419130 $463.00 $482.40 2007 <br /> Occlusal guard, by report minimize bruxism <br /> $274195 lab $285.00 $296.00 2007 <br /> Fabrication of Athletic Mouthguard $104.00 $108.00 2007 <br /> Root Canal Therapy Anterior $416.00 433.00 2007 <br /> Root Canal Therapy Bicuspid $494.00 514.00 2007 <br /> Root Canal Therapy Molar $624.00 649.00 2007 <br /> Flat Fees Mouthguard Project <br /> Flat Fee Fabrication of Atletic Moutguard Projects $15.00 1$17.00 12007 <br /> 20 -13 <br />