15601 Maintenance, Space Maintainer Appliances, to include: adjustment and/or recementation after 30 days from insertion
10000 | PREVENTION |
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15000 | SPACE MAINTAINERS |
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15600 | SPACE MAINTAINERS, MAINTENANCE OF |
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15601 | Maintenance, Space Maintainer Appliances, to include: adjustment and/or recementation after 30 days from insertion | $85.68 | $85.68 |