43261 Per band
| 40000 | PERIODONTICS |
||
| 43000 | PERIODONTAL PROCEDURES, ADJUNCTIVE |
||
| 43200 | PERIODONTAL SPLINTING OR LIGATION, EXTRA CORONAL |
||
| 43260 | Orthodontic Band Splint |
||
| 43261 | Per band |
$79.45
+Material Expenses |
$79.45
+Mater. Exp. |