14733 Three units
| 10000 | PREVENTION |
||
| 14000 | APPLIANCES |
||
| 14700 | APPLIANCES, TEMPOROMANDIBULAR JOINT |
||
| 14730 | Appliance, TMJ, Periodic Maintenance, Adjustments, Repairs |
||
| 14733 | Three units |
$250.28
+Lab Costs |
$250.28
+Lab Costs |