56111 Maxillary
| 50000 | PROSTHODONTICS - REMOVABLE |
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| 56000 | DENTURES, REPLICATION, RELINING AND REBASING |
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| 56100 | DENTURES, REPLICATION, PROVISIONAL |
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| 56110 | Dentures, Replication, Complete Denture, Provisional (No Intra-oral Impression Required) |
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| 56111 | Maxillary |
$171.44
+Lab Costs |
$171.44
+Lab Costs |