Agenda 06-18-19 Item 6-a - Approval of Fiscal Year 2019-20 Budget Ordinance, County Grant Projects, and County Fee Schedule

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Commissioner Approved Fee Schedule - FY 2019-20 * Any fee changes will be included in this column; a blank beside each fee means there is no fee change in FY 2019-20 Commissioner Approved Fee Schedule Department/Program Description Current Fee Commissioner Approved Fee Change for FY 2019-20* Last Revision D2332 Resin Three Surface Anterior $227.00 2013 D2335 Resin Four Surface Anterior $288.00 2013 D2390 Resin Comp. Crown Ant. Prim $414.00 2013 D2391 Resin Comp. 1sur.Post-Prim/Perm $162.00 2013 D2392 Resin Comp. 2sur.Post-Prim/Perm $212.00 2013 D2393 Resin Comp. 3sur.Posterior Perm $261.00 2013 D2394 Resin Comp.4+sur.Posterior Perm $314.00 2013 D2920 Recement Crown NOT cov. by MA $100.00 2013 D2930 SSC Primary Tooth $247.00 2013 D2931 SSC Permanent Tooth $298.00 2013 D2932 Prebacricated Resin Crown $323.00 2013 D2934 Prefab.est.coat SSC prim. Tooth $327.00 2013 D2940 Sedative Filling $113.00 2013 D2951 Pin Retention/tooth $67.00 2012 D3110 Pulp Cap-direct exp. Pulp MED $76.00 2013 D3120 Pulp Cap-indirect nearly exposed $77.00 2013 D3220 Pulpotomy $183.00 2013 D3310 Root Canal Therapy Anterior $676.00 2013 D3320 Root Canal Therapy Bicuspid $780.00 2013 D3330 Root Canal Therapy Molar $943.00 2013 D4320 Provisional Splinting, intracoronal $115.00 2017 D4321 Provisional Splinting, extracoronal $115.00 2017 D4341 Scale Root Planing 4> teeth p/q $231.00 2013 D4342 Scale/Root Planing 1-3 teeth p/q $167.00 2013 D4346 Scaling in presence of generalized moderate or severe gingival inflammation $95.00 2018 D4355 Full mouth Debridement $168.00 2013 D4910 Periodontal Maintenance $127.00 2013 D5411 Adjust Complete Denture - lower $45.00 2018 D6930 Recement Bridge $100.00 2018 D7111 Ext. cornal remnants deciduous $122.00 2013 D7140 Ext. Erupted Tooth Prim/Perm $162.00 2013 53