23505 Five surfaces or maximum surface per tooth
20000 | RESTORATION |
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23000 | RESTORATIONS, TOOTH COLOURED/PLASTIC WITH/WITHOUT SILVER FILINGS |
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23500 | RESTORATIONS, TOOTH COLOURED/ PLASTIC WITH/WITHOUT SILVER FILINGS, PRIMARY, |
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23505 | Five surfaces or maximum surface per tooth | $228.39 | $228.39 |