34412 Two roots
| 30000 | ENDODONTICS |
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| 34000 | PERIAPICAL SERVICES |
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| 34400 | SURGICAL SERVICES, MISCELLANEOUS |
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| 34410 | Amputations, Root (includes recontouring tooth and furca) |
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| 34412 | Two roots | $466.16 | $466.16 |