14611 Maxillary Appliance
10000 | PREVENTION |
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14000 | APPLIANCES |
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14600 | APPLIANCES, PERIODONTAL |
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14610 | Appliances, Periodontal (including bruxism appliance); Includes Impression, Insertion and Insertion |
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14611 | Maxillary Appliance |
$436.94
+Lab Costs |
$436.94
+Lab Costs |