14742 Reline, Indirect
| 10000 | PREVENTION |
||
| 14000 | APPLIANCES |
||
| 14700 | APPLIANCES, TEMPOROMANDIBULAR JOINT |
||
| 14740 | Appliance, TMJ, Reline |
||
| 14742 | Reline, Indirect |
$238.38
+Lab Costs |
$238.38
+Lab Costs |