22200 RESTORATIONS, PREFABRICATED, METAL, PRIMARY TEETH
20000 | RESTORATION |
||
22000 | RESTORATIONS, PREFABRICATED, FULL COVERAGE |
||
22200 | RESTORATIONS, PREFABRICATED, METAL, PRIMARY TEETH | ||
22201 | Primary Anterior |
216.37 | 216.37 |
22202 | Primary Anterior - open face/acrylic veneer |
266.67
+Lab Costs |
266.67
+Lab Costs |
22211 | Primary Posterior |
211.89 | 211.89 |
22212 | Primary Posterior - open face |
286.25 | 286.25 |