23510 Restorations, Tooth Colored, Primary, Posterior, Bonded Technique
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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23510 | Restorations, Tooth Colored, Primary, Posterior, Bonded Technique | ||
23511 | One surface |
150.42 | 150.42 |
23512 | Two surfaces |
190.14 | 190.14 |
23513 | Three surfaces |
245.37 | 245.37 |
23514 | Four surfaces |
286.25 | 286.25 |
23515 | Five surfaces or maximum surface per tooth |
327.15 | 327.15 |