53221 Maxillary
| 50000 | PROSTHODONTICS - REMOVABLE |
||
| 53000 | DENTURES, PARTIAL, CAST WITH ACRYLIC BASE |
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| 53200 | DENTURES, PARTIAL, TOOTH-BORNE, CAST FRAME/CONNECTOR, CLASPS AND RESTS |
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| 53220 | Dentures, Partial, Tooth Borne, Cast Frame/Connector, Clasps and Rests (Equilibrated) |
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| 53221 | Maxillary |
$2010.01
+Lab Costs |
$2010.01
+Lab Costs |