52101 Maxillary
| 50000 | PROSTHODONTICS - REMOVABLE |
||
| 52000 | DENTURES, PARTIAL, ACRYLIC |
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| 52100 | Dentures, Partial, Acrylic Base (Provisional) (With or Without Clasps) |
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| 52101 | Maxillary |
$243.4
+Lab Costs |
$243.4
+Lab Costs |