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HCPC | D1205 | LongDesc | TOPICAL APPLICATION OF FLUORIDE (INCLUDING PROPHYLAXIS)-ADULT | SeqNum | 001 | RIC | 003 | ShortDesc | Topical fluoride w/ prophy a | PI1 | 00 | PI2 | | PI3 | | PI4 | | MPI | 9 | CIM1 | | CIM2 | | CIM3 | | MCM1 | | MCM2 | | MCM3 | | Statute | 1862 a(12) | LabCert1 | | LabCert2 | | LabCert3 | | LabCert4 | | LabCert5 | | LabCert6 | | LabCert7 | | LabCert8 | | XRef1 | D1202 | XRef2 | | XRef3 | | XRef4 | | XRef5 | | Cov | S | ASCPayGrp | | ASCPayGrpEffDate | | MOGPayGrp | | MOGPayInd | | MOGEffDate | | ProcNote | | BETOS | Y1 | Filler | | TOS1 | 1 | TOS2 | | TOS3 | | TOS4 | | TOS5 | | AnestBaseUnits | 0 | CodeAddDate | 19920101 | ActionEffDate | 20070101 | TermDate | 20061231 | ActionCode | N |
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