25120 Inlays, Composite/Compomer, Indirect (Bonded)
20000 | RESTORATION |
||
25000 | RESTORATIONS, INLAYS, ONLAYS, PINS AND POSTS |
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25100 | RESTORATIONS INLAYS |
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25120 | Inlays, Composite/Compomer, Indirect (Bonded) | ||
25121 | One surface |
491.6
+Lab Costs |
491.6
+Lab Costs |
25122 | Two surfaces |
573.4
+Lab Costs |
573.4
+Lab Costs |
25123 | Three surfaces |
669.79
+Lab Costs |
669.79
+Lab Costs |
25124 | Three surfaces, modified |
861.59
+Lab Costs |
861.59
+Lab Costs |