15100 SPACE MAINTAINERS, BAND TYPE
| 10000 | PREVENTION |
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| 15000 | SPACE MAINTAINERS |
||
| 15100 | SPACE MAINTAINERS, BAND TYPE | ||
| 15101 | Space Maintainer, Band Type, Fixed, Unilateral |
257.03
+Lab Costs |
257.03
+Lab Costs |
| 15102 | Space Maintainer, Band Type, Fixed, Unilateral with Intra-alveolar attachment |
257.03
+Lab Costs |
257.03
+Lab Costs |
| 15103 | Space Maintainer, Band Type, Fixed, Bilateral (soldered lingual arch) |
342.71
+Lab Costs |
342.71
+Lab Costs |
| 15104 | Space Maintainer, Band Type, Fixed, Bilateral (soldered lingual arch), with Teeth Attached |
342.71
+Lab Costs |
342.71
+Lab Costs |
| 15105 | Space Maintainer, Band Type, Fixed, Bilateral Tubes and Locking Wire |
342.71
+Lab Costs |
342.71
+Lab Costs |