14611 Maxillary Appliance

10000

PREVENTION

14000

APPLIANCES

14600

APPLIANCES, PERIODONTAL

14610

Appliances, Periodontal (including bruxism appliance); Includes Impression, Insertion and Insertion
Adjustment (no post-insertion adjustments)

14611 Maxillary Appliance $436.94
+Lab Costs
$436.94
+Lab Costs
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