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
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$185	$185	$185
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$184	$184	$184
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$144	$144	$144
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$336	$405	$474
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$336	$405	$474
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$767	$767	$767
Bronchoscopy with brushing CPT 31623 • Pulmonology	$422	$595	$767
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$767	$767	$767
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$422	$595	$767
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$422	$991	$1,559
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$1,559	$1,559	$1,559
Spirometry CPT 94010 • Pulmonology	$46	$46	$46
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$75	$75	$75
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$10	$10	$10
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$152	$171	$190
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$198	$220	$242
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$32	$32	$32
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$710	$710	$710
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$62	$62	$62
Radiation physics consultation CPT 77336 • Radiation Therapy	$34	$51	$69
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$58	$97	$137
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$97	$117	$137
Proton beam treatment simple CPT 77520 • Radiation Therapy	$301	$492	$682
Proton beam treatment complex CPT 77523 • Radiation Therapy	$662	$778	$893
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$1,603	$1,603	$1,603
Post-void residual urine measurement CPT 51798 • Urology	$14	$14	$14
Cystourethroscopy diagnostic CPT 52000 • Urology	$273	$290	$306
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$1,061	$1,332	$1,603
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$1,603	$1,603	$1,603
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$705	$817	$930
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$1,603	$1,603	$1,603
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$2,442	$2,442	$2,442
TURP transurethral resection of prostate CPT 52601 • Urology	$1,496	$1,969	$2,442
Laser vaporization of prostate CPT 52648 • Urology	$2,442	$2,442	$2,442
Circumcision CPT 54150 • Urology	$930	$940	$950
Orchiectomy simple CPT 54520 • Urology	$1,603	$1,603	$1,603
Orchiectomy radical inguinal CPT 54530 • Urology	$1,632	$1,632	$1,632
Vasectomy CPT 55250 • Urology	$930	$940	$950