22500 RESTORATIONS PREFABRICATED, PLASTIC, PERMANENT TEETH
20000 | RESTORATION |
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22000 | RESTORATIONS, PREFABRICATED, FULL COVERAGE |
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22500 | RESTORATIONS PREFABRICATED, PLASTIC, PERMANENT TEETH | ||
22501 | Permanent Anterior |
243.29 | 243.29 |
22511 | Permanent Posterior |
243.29 | 243.29 |