23110 Restorations, Permanent Anteriors, Bonded Technique
| 20000 | RESTORATION |
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| 23000 | RESTORATIONS, TOOTH COLOURED/PLASTIC WITH/WITHOUT SILVER FILINGS |
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| 23100 | RESTORATIONS, TOOTH COLOURED, PERMANENT ANTERIORS, NON BONDED TECHNIQUE |
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| 23110 | Restorations, Permanent Anteriors, Bonded Technique | ||
| Additional Information: | Add'l Info: | (not to be used for Veneer Applications or Diastema Closures) |
|
| 23111 | One surface |
142.49 | 142.49 |
| 23112 | Two surfaces |
170.56 | 170.56 |
| 23113 | Three surfaces |
195.79 | 195.79 |
| 23114 | Four surfaces |
256.23 | 256.23 |
| 23115 | Five surfaces (maximum surfaces per tooth) |
314.87 | 314.87 |