53121 Maxillary
| 50000 | PROSTHODONTICS - REMOVABLE |
||
| 53000 | DENTURES, PARTIAL, CAST WITH ACRYLIC BASE |
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| 53100 | DENTURES, PARTIAL, FREE END, CAST FRAME/CONNECTOR, CLASPS AND RESTS |
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| 53120 | Dentures, Partial Free End, Swing Lock/Connector |
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| 53121 | Maxillary |
$1048.7
+Lab Costs |
$1048.7
+Lab Costs |