15102 Space Maintainer, Band Type, Fixed, Unilateral with Intra-alveolar attachment
| 10000 | PREVENTION |
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| 15000 | SPACE MAINTAINERS |
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| 15100 | SPACE MAINTAINERS, BAND TYPE |
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| 15102 | Space Maintainer, Band Type, Fixed, Unilateral with Intra-alveolar attachment |
$257.03
+Lab Costs |
$257.03
+Lab Costs |