04721 One unit of time
00000 | DIAGNOSTIC |
||
04000 | TEST/ANALYSIS/LABORATORY PROCEDURES/INTERPRETATION AND/OR REPORTS |
||
04700 | SUPPLEMENTARY DIAGNOSTIC PROCEDURES (INTERPRETATION ONLY) |
||
04720 | Wax-up, Diagnostic (To Evaluate Cosmetic And/Or Preparation Design And/Or Occlusal |
||
04721 | One unit of time |
$77.9
+Lab Costs |
$77.9
+Lab Costs |