23515 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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| 23510 | Restorations, Tooth Colored, Primary, Posterior, Bonded Technique |
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| 23515 | Five surfaces or maximum surface per tooth | $327.15 | $327.15 |