Panoramic radiographic image.

2D oral/facial photographic image obtained intra-orally or extra-orally.

Cone beam CT capture and interpretation with limited field of view – less than one whole jaw.

Cone beam CT capture and interpretation with field of view of both jaws; with or without cranium.

Includes multiple teeth and contra lateral comparison(s), as indicated.

Removal of plaque, calculus and stains from the tooth structures in the permanent and transitional dentition. It is intended to control local irritational factors.

Removal of plaque, calculus and stains from the tooth structures in the primary and transitional dentition. It is intended to control local irritational factors.

Topical application of fluoride varnish.

Prescription strength fluoride product designed solely for use in the dental office, delivered to the dentition under the direct supervision of a dental professional. Fluoride must be applied separately from prophylaxis paste.