55101 Maxillary
| 50000 | PROSTHODONTICS - REMOVABLE |
||
| 55000 | DENTURES, REPAIRS/ADDITIONS |
||
| 55100 | DENTURE, REPAIRS, COMPLETE DENTURE, NO IMPRESSION REQUIRED |
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| 55101 | Maxillary |
$80.5
+Lab Costs |
$80.5
+Lab Costs |