27113 Crown, Acrylic/Composite/Compomer, Provisional [Long Term], Indirect (lab fabricated/relined intra- orally)
| 20000 | RESTORATION |
||
| 27000 | CROWNS, SINGLE UNITS ONLY |
||
| 27100 | CROWNS, ACRYLIC/COMPOSITE/COMPOMER, |
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| 27110 | Crowns, Acrylic/Composite/Compomer, Indirect |
||
| 27113 | Crown, Acrylic/Composite/Compomer, Provisional [Long Term], Indirect (lab fabricated/relined intra- orally) |
$266.98
+Lab Costs |
$266.98
+Lab Costs |