25140 Inlays, Porcelain/Ceramic/Polymer Glass (Bonded)
| 20000 | RESTORATION |
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| 25000 | RESTORATIONS, INLAYS, ONLAYS, PINS AND POSTS |
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| 25100 | RESTORATIONS INLAYS |
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| 25140 | Inlays, Porcelain/Ceramic/Polymer Glass (Bonded) | ||
| 25141 | One surface |
487.42
+Lab Costs |
487.42
+Lab Costs |
| 25142 | Two surfaces |
684.04
+Lab Costs |
684.04
+Lab Costs |
| 25143 | Three surfaces |
798.17
+Lab Costs |
798.17
+Lab Costs |
| 25144 | Three surfaces, modified |
861.59
+Lab Costs |
861.59
+Lab Costs |