39212 Molars
| 30000 | ENDODONTICS |
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| 39000 | ENDODONTIC, PROCEDURES, MISCELLANEOUS |
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| 39200 | OPEN AND DRAIN (Separate Emergency Procedures) |
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| 39210 | Opening Through Artificial Crown (In addition to Procedures) |
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| 39212 | Molars | $87.81 | $87.81 |