25123 Three surfaces
| 20000 | RESTORATION |
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| 25000 | RESTORATIONS, INLAYS, ONLAYS, PINS AND POSTS |
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| 25100 | RESTORATIONS INLAYS |
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| 25120 | Inlays, Composite/Compomer, Indirect (Bonded) |
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| 25123 | Three surfaces |
$669.79
+Lab Costs |
$669.79
+Lab Costs |