14823 Three units
10000 | PREVENTION |
||
14000 | APPLIANCES |
||
14800 | APPLIANCES, MYOFACIAL PAIN DYSFUNCTION SYNDROME |
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14820 | Appliance, Myofacial Pain Dysfunction Syndrome, Periodic Maintenance, Adjustment and Repairs |
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14823 | Three units |
$250.28
+Lab Costs |
$250.28
+Lab Costs |