14620 Appliances, Adjustment, Repair
| 10000 | PREVENTION |
||
| 14000 | APPLIANCES |
||
| 14600 | APPLIANCES, PERIODONTAL |
||
| 14620 | Appliances, Adjustment, Repair | ||
| 14621 | One unit of time |
79.45
+Lab Costs |
79.45
+Lab Costs |
| 14622 | Two units |
158.92
+Lab Costs |
158.92
+Lab Costs |
| 14623 | Three units |
238.37
+Lab Costs |
238.37
+Lab Costs |
| 14629 | Each additional unit over three |
79.45
+Lab Costs |
79.45
+Lab Costs |