12110 Topical, whole mouth, in office

10000

PREVENTION

12100

FLUORIDE TREATMENTS (whole mouth)

12110 Topical, whole mouth, in office
12111

Rinse

30.26 30.26
12112

Gel or Foam

30.26 30.26
12113

Varnish

30.26 30.26
12114

Self-Administered Brush-In, supervised

30.26 30.26
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