23510 Restorations, Tooth Colored, Primary, Posterior, Bonded Technique

20000

RESTORATION

23000

RESTORATIONS, TOOTH COLOURED/PLASTIC WITH/WITHOUT SILVER FILINGS

23500

RESTORATIONS, TOOTH COLOURED/ PLASTIC WITH/WITHOUT SILVER FILINGS, PRIMARY,
POSTERIOR, NON BONDED

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
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