21500 RESTORATIONS MADE TO A TOOTH SUPPORTING AN EXISTING PARTIAL DENTURE CLASP (ADDITIONAL TO RESTORATION)
20000 | RESTORATION |
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21000 | RESTORATIONS, AMALGAM |
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21500 | RESTORATIONS MADE TO A TOOTH SUPPORTING AN EXISTING PARTIAL DENTURE CLASP (ADDITIONAL TO RESTORATION) | ||
21501 | Per restoration |
77.59 | 77.59 |