22202 Primary Anterior - open face/acrylic veneer
| 20000 | RESTORATION |
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| 22000 | RESTORATIONS, PREFABRICATED, FULL COVERAGE |
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| 22200 | RESTORATIONS, PREFABRICATED, METAL, PRIMARY TEETH |
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| 22202 | Primary Anterior - open face/acrylic veneer |
$266.67
+Lab Costs |
$266.67
+Lab Costs |