14812 Mandibular Appliance
10000 | PREVENTION |
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14000 | APPLIANCES |
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14800 | APPLIANCES, MYOFACIAL PAIN DYSFUNCTION SYNDROME |
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14810 | Appliance, Myofascial Pain Dysfunction Syndrome, (to include: models, gnathological determinants) |
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14812 | Mandibular Appliance |
$725.96
+Lab Costs |
$725.96
+Lab Costs |