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Sample perio treatment plan

  1. Pt. Ed/OHI (1330) (Must include plaque index for CPU credit)
  2. Scaling & Root Planing (4341) UR,UL,LR,LL
  3. Adult fluoride (1204)
  4. Perio Reevaluation (4346) UR,UL,LR,LL
  5. Perio Maintenance q3 months (4910)
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