23410 Retsorations, Tooth Colored, Primary, Anterior, Bonded Technique
| 20000 | RESTORATION |
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| 23000 | RESTORATIONS, TOOTH COLOURED/PLASTIC WITH/WITHOUT SILVER FILINGS |
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| 23400 | RESTORATIONS, TOOTH COLORED, PRIMARY, ANTERIOR, NON BONDED |
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| 23410 | Retsorations, Tooth Colored, Primary, Anterior, Bonded Technique | ||
| 23411 | One surface |
143.12 | 143.12 |
| 23412 | Two surfaces |
167.75 | 167.75 |
| 23413 | Three surfaces |
184.02 | 184.02 |
| 23414 | Four surfaces |
224.91 | 224.91 |
| 23415 | Five surfaces (maximum surfaces per tooth) |
294.0 | 294.0 |