Section 219.000. Restorations.
- 016.06.23–219.100 Amalgam Restorations
- 016.06.23–219.200 Composite Resin Restorations
- 016.06.23–220.000 Crowns — Single Restorations Only
- 016.06.23–221.000 Endodontia
- 016.06.23–221.100. Endodontia
- 016.06.23–222.000 Periodontal Procedures
- 016.06.23–223.000 Removable Prosthetic Services (Full and Partial Dentures, Including Repairs
- 016.06.23–224.000. Adjustments and Relines of Dentures for Beneficiaries Age 21 and over