21230 Restorations, Amalgam, Bonded, Permanent Bicuspids and Anteriors

20000

RESTORATION

21000

RESTORATIONS, AMALGAM

21200

RESTORATIONS, AMALGAM, PERMANENT TEETH

21230 Restorations, Amalgam, Bonded, Permanent Bicuspids and Anteriors
21231

One surface

141.9 141.9
21232

Two surfaces

176.1 176.1
21233

Three surfaces

219.08 219.08
21234

Four surfaces

262.08 262.08
21235

Five surfaces or maximum surfaces per tooth

294.0 294.0
Log in to add to favourites