14623 Three units
| 10000 | PREVENTION |
||
| 14000 | APPLIANCES |
||
| 14600 | APPLIANCES, PERIODONTAL |
||
| 14620 | Appliances, Adjustment, Repair |
||
| 14623 | Three units |
$238.37
+Lab Costs |
$238.37
+Lab Costs |