14400 APPLIANCES, CONTROL OF ORAL HABITS ADJUSTMENTS, REPAIRS, MAINTENANCE
| 10000 | PREVENTION |
||
| 14000 | APPLIANCES |
||
| 14400 | APPLIANCES, CONTROL OF ORAL HABITS ADJUSTMENTS, REPAIRS, MAINTENANCE | ||
| 14401 | One unit of time |
85.68
+Lab Costs |
85.68
+Lab Costs |
| 14402 | Two units of time |
171.35
+Lab Costs |
171.35
+Lab Costs |
| 14403 | Three units of time |
257.03
+Lab Costs |
257.03
+Lab Costs |
| 14409 | Each additional unit over three |
85.68
+Lab Costs |
85.68
+Lab Costs |