15602 Maintenance, Space Maintainer Appliances, addition of clasps and/or activating wires
| 10000 | PREVENTION |
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| 15000 | SPACE MAINTAINERS |
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| 15600 | SPACE MAINTAINERS, MAINTENANCE OF |
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| 15602 | Maintenance, Space Maintainer Appliances, addition of clasps and/or activating wires |
$171.35
+Lab Costs |
$171.35
+Lab Costs |