14720 Appliance, TMJ Intraoral Repositioning; includes impression, insertion and insertion adjustment (no post-insertion adjustments)
| 10000 | PREVENTION |
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| 14000 | APPLIANCES |
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| 14700 | APPLIANCES, TEMPOROMANDIBULAR JOINT |
||
| 14720 | Appliance, TMJ Intraoral Repositioning; includes impression, insertion and insertion adjustment (no post-insertion adjustments) | ||
| 14721 | Maxillary Appliance |
643.26
+Lab Costs |
643.26
+Lab Costs |
| 14722 | Mandibular Appliance |
643.26
+Lab Costs |
643.26
+Lab Costs |