20121 First tooth
| 20000 | RESTORATION |
||
| 20100 | CARIES, TRAUMA AND PAIN CONTROL |
||
| 20120 | Caries/Trauma/Pain Control |
||
| 20121 | First tooth | $125.14 - 208.56 | $125.14 - 208.56 |
| 20000 | RESTORATION |
||
| 20100 | CARIES, TRAUMA AND PAIN CONTROL |
||
| 20120 | Caries/Trauma/Pain Control |
||
| 20121 | First tooth | $125.14 - 208.56 | $125.14 - 208.56 |