VALLEYGATE DENTAL SURGERY CENTER OF CHARLOTTE LLC· CHARLOTTE, NC

Physician group

8415 MEDICAL PLAZA DR, CHARLOTTE, NC 28262

Procedures offered

338 total

Procedure	Min	Avg	Max
Antepartum care 7 or more visits CPT 59426 • Maternity	$1,510	$1,510	$1,510
Postpartum care only CPT 59430 • Maternity	$383	$383	$383
Obstetric ultrasound first trimester CPT 76801 • Maternity	$55	$55	$55
Obstetric ultrasound complete CPT 76805 • Maternity	$55	$55	$56
Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity	$82	$82	$82
Ultrasound transvaginal obstetric CPT 76817 • Maternity	$36	$36	$36
Psychiatric diagnostic evaluation CPT 90791 • Mental Health	$240	$240	$240
Psychotherapy 30 minutes CPT 90832 • Mental Health	$119	$119	$119
Psychotherapy 45 minutes CPT 90834 • Mental Health	$158	$158	$158
Psychotherapy 60 minutes CPT 90837 • Mental Health	$190	$190	$190
Brief emotional/behavioral assessment CPT 96127 • Mental Health	$6	$6	$6
Lumbar puncture diagnostic CPT 62270 • Neurology	$360	$360	$360
Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology	$61	$69	$77
Chemodenervation of muscle neck CPT 64616 • Neurology	$40	$53	$67
Office visit new patient straightforward CPT 99202 • Office Visits	$96	$96	$96
Office visit new patient low complexity CPT 99203 • Office Visits	$148	$148	$148
Office visit new patient moderate complexity CPT 99204 • Office Visits	$260	$260	$260
Office visit new patient high complexity CPT 99205 • Office Visits	$329	$329	$329
Office visit established patient straightforward CPT 99212 • Office Visits	$105	$105	$105
Office visit established patient low complexity CPT 99213 • Office Visits	$120	$120	$120
Office visit established patient moderate complexity CPT 99214 • Office Visits	$171	$171	$171
Office visit established patient high complexity CPT 99215 • Office Visits	$344	$344	$344
Blepharoplasty upper eyelid CPT 15823 • Ophthalmology	$865	$908	$950
Foreign body removal external eye corneal CPT 65210 • Ophthalmology	$26	$26	$26
Corneal transplant endothelial CPT 65756 • Ophthalmology	$2,028	$2,028	$2,028
Trabeculoplasty laser surgery CPT 65855 • Ophthalmology	$127	$129	$131
Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology	$940	$1,058	$1,176
Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology	$1,176	$1,176	$1,176
Iridotomy laser surgery CPT 66761 • Ophthalmology	$139	$157	$175
Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology	$964	$1,070	$1,176
Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology	$964	$1,070	$1,176
Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology	$57	$57	$57
Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology	$1,655	$1,842	$2,028
Retinal photocoagulation treatment CPT 67210 • Ophthalmology	$200	$232	$263
Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology	$167	$193	$218
Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology	$994	$994	$994
Excision chalazion single CPT 67800 • Ophthalmology	$73	$73	$73
Blepharoptosis repair levator resection CPT 67901 • Ophthalmology	$994	$994	$994
Lacrimal punctum closure by plug CPT 68761 • Ophthalmology	$66	$77	$88
Arthrocentesis aspiration small joint CPT 20600 • Orthopedics	$28	$28	$28
Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics	$23	$25	$28
Arthrocentesis aspiration major joint CPT 20610 • Orthopedics	$33	$72	$112
Cervical spine fusion anterior approach CPT 22551 • Orthopedics	$3,560	$6,171	$8,782
Lumbar spine fusion posterior approach CPT 22612 • Orthopedics	$13,593	$13,593	$13,593
Lumbar spine fusion combined approach CPT 22633 • Orthopedics	$7,662	$7,662	$7,662
Total shoulder replacement CPT 23472 • Orthopedics	$14,061	$14,061	$14,061
Lateral epicondylitis open treatment CPT 24357 • Orthopedics	$1,529	$1,529	$1,529
Closed treatment distal radial fracture CPT 25600 • Orthopedics	$61	$93	$125
Tendon sheath incision trigger finger CPT 26055 • Orthopedics	$694	$753	$812
Total hip replacement CPT 27130 • Orthopedics	$9,150	$9,150	$9,150