20131 First tooth
| 20000 | RESTORATION |
||
| 20100 | CARIES, TRAUMA AND PAIN CONTROL |
||
| 20130 | Trauma Control, Smoothing of Fractured Surfaces Per Tooth |
||
| 20131 | First tooth | $44.95 | $44.95 |
| 20000 | RESTORATION |
||
| 20100 | CARIES, TRAUMA AND PAIN CONTROL |
||
| 20130 | Trauma Control, Smoothing of Fractured Surfaces Per Tooth |
||
| 20131 | First tooth | $44.95 | $44.95 |