23320 Permanent Molars
| 20000 | RESTORATION |
||
| 23000 | RESTORATIONS, TOOTH COLOURED/PLASTIC WITH/WITHOUT SILVER FILINGS |
||
| 23300 | RESTORATIONS, TOOTH COLORED, PERMANENT POSTERIORS - BONDED |
||
| 23320 | Permanent Molars | ||
| 23321 | One surface |
156.15 | 156.15 |
| 23322 | Two surfaces |
220.14 | 220.14 |
| 23323 | Three surfaces |
260.63 | 260.63 |
| 23324 | Four surfaces |
319.65 | 319.65 |
| 23325 | Five surfaces or maximum surface per tooth |
369.94 | 369.94 |