Savings Program

2 periodic oral evaluation - established patient

2 prophylaxis - adult

1 bitewings - four radiographic images

2 topical application of fluoride varnish

1 limited oral evaluation - problem focused

1 intraoral - periapical first radiographic image

1 panoramic radiographic image

1 comprehensive oral evaluation - new Dr established patient

2 periodic oral evaluation - established patient

2 prophylaxis - adult

1 bitewings - four radiographic images

2 topical application of fluoride varnish

1 limited oral evaluation - problem focused

2 intraoral - periapical first radiographic image

1 comprehensive oral evaluation - new Dr established patient

1 intraoral - comprehensive series of radiographic images

1 panoramic radiographic image

2 periodic oral evaluation - established patient

2 prophylaxis- child

1 bitewings - two radiographic images

2 topical application of fluoride varnish

1 limited oral evaluation - problem focused

1 intraoral - periapical first radiographic image

1 comprehensive oral evaluation - new Dr established patient

1 panoramic radiographic image

1 intraoral - comprehensive series of radiographic images

2 periodic oral evaluation - established patient

3 periodontal maintenance

1 bitewings - four radiographic images

3 topical application of fluoride varnish

1 limited oral evaluation - problem focused

1 intraoral - periapical first radiographic image

1 comprehensive oral evaluation - new Dr established patient

1 intraoral - comprehensive series of radiographic images

1 panoramic radiographic image