Agenda - 06-18-2013 - 7a - Laserfiche WebLink

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Orange County Commissioner Approved Fee Schedule - FY 2013 -14 38 Department/Program Description Current Fee \` \ Last Revision Root Canal Therapy Anterior $433.00 2009 Root Canal Therapy Bicuspid $514.00 2009 Root Canal Therapy Molar $649.00 2009 Fabrication of Athletic Mouth guard $108.00 2009 Fabrication of Athletic Mouth guard Project (school -based program) $17.00 flat fee, no sliding scale 2009 Boil & Bite Mouth guards (students with braces) $5.00 2007 Occlusal Guards, By report minimize bruxism $ 274/95 lab $296.00 2009 Minimum charge for Dental services per visit $30.00 per prevention visit and $30.00 per procedure 2012 Personal Health Drainage of Skin Abscess $117.00 2009 Drainage of Skin Abscess $200.00 2009 Drainage ofPilonidal Cyst $195.00 2009 Remove Foreign Body $133.00 2009 Drainage ofHematorn uid $147.00 2009 Puncture Drainage of Lesion $94.00 2008 Debride Infected Skin $56.00 2009 Remove Skin Tags $89.00 2009 Trim Nail(s) $22.00 2008 Debride Nail 1 -5 $33.00 2008 Avulsion of Nail Plate $97.00 2010 Drain Blood from Under Nail $56.00 2009 Norplant(Remove) $223.00 2009 Repair Superficial Wound(s) 2.5cm or less $171.00 2008 Repair Superficial Wound(s) 2.6 -7.5cm $184.00 2009 Initial Burn(s) Treatment $84.00 2009 Destroy Benign/Premal Lesion $72.00 2009 Destroy Lesions, 2 -14 $18.00 2008 DestructLesion(s), 1 -14 $109.00 2009 Inject Single Tendon - Ligament -Cyst $72.00 2009 Inject Single Tendon Orgin ?Insertion $67.00 2009 Inject Single -Multi Trigger Pts, 1 -2 Muscles $67.00 2009 Inject Single -Multi Trigger Pts, 3+ Muscles 1$78.00 12009 *Any fee changes wi I I be included in this column; a bl ank besi de each f ee means there i s no f ee change i n FY 2013 -14 Comm i ssi oner Approved Fee Schedule