39313 Three units
| 30000 | ENDODONTICS |
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| 39000 | ENDODONTIC, PROCEDURES, MISCELLANEOUS |
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| 39300 | BLEACHING, NON VITAL |
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| 39310 | Bleaching Endodontically Treated Tooth/Teeth |
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| 39313 | Three units | $255.5 | $255.5 |