Laserfiche WebLink
6GOX N,GF 232- <br />• <br />5214 <br />Mandibular Partial Denture-Cast <br />Metal <br />967.00 <br />5410 <br />Adjust Complete Maxilla Denture <br />37.00 <br />5411 <br />Adjust Complete Mandibular Denture <br />37.00 <br />5421 <br />Adjust Partial Denture-Maxillary <br />37.00 <br />5422 <br />Adjust Partial Denture-Mandibular <br />37.00 <br />5510 <br />Re air Complete Denture Base <br />99.00 <br />5520 <br />Replace Missing/Broken Tooth <br />66.00 <br />5610 <br />Repair Resin Denture Base <br />99.00 <br />5620 <br />Repair Cast Framework <br />135.00 <br />5630 <br />Repair/ Relace Broken Clasp <br />139.49 <br />5640 <br />Replace Broken Teeth per Tooth <br />99.00 <br />5650 <br />Add Tooth-Existing Partial <br />99.00 <br />5660 <br />Add Clasp-Existing Partial <br />165.00 <br />5730 <br />Reline Maxilla Complete Denture <br />195.00 <br />5731 <br />Reline Mandibular Complete Denture <br />195.00 <br />5740 <br />Reline Maxillary Partial Denture <br />162.00 <br />5741 <br />Reline Mandibular Partial Denture <br />71.90 <br />5750 <br />Lab Reline Maxillary Complete <br />Denture <br />260.00 <br />5751 <br />Lab Reline Mandibular Complete Dent. <br />260.00 <br />5760 <br />Lab Reline Maxillary Partial Denture <br />260.00 <br />5761 <br />Lab Reline Mandibular Partial Denture <br />260.00 <br />7110 <br />Single Tooth Extraction <br />63.00 <br />7120 <br />Each Additional Tooth Extraction <br />63.00 <br />7130 <br />Root Removal Exposed Roots <br />81.00 <br />7210 <br />Surgical Removal Erupted Tooth <br />124.00 <br />7220 <br />Removal of Impacted Tooth-Soft <br />Tissue <br />143.00 <br />7270 <br />Tooth Reim plantation <br />223.00 <br />7286 <br />Biopsy of Oral Soft Tissue <br />124.00 <br />7510 <br />Incision and Drainage of Abscess <br />Intraoral <br />85.00 <br />9110 <br />Palliative Treatment <br />68.00 <br />*In accordance with the Lee County Public Health Department, the Standard <br />Fee Schedule is set using the 75 percentile of the UCR fees calculated for <br />