12600 FLUORIDE, CUSTOM APPLIANCES, (home application)
| 10000 | PREVENTION |
||
| 12600 | FLUORIDE, CUSTOM APPLIANCES, (home application) | ||
| 12601 | Fluoride, Custom Appliance - Maxillary Arch |
74.0
+Lab Costs |
74.0
+Lab Costs |
| 12602 | Fluoride, Custom Appliance - Mandibular Arch |
74.0
+Lab Costs |
74.0
+Lab Costs |