67113 Retainers, Acrylic, Composite/Compomer, Provisional, Indirect (lab fabricated/relined intra-orally)

60000	PROSTHODONTICS - FIXED
67000	FIXED BRIDGE RETAINERS
67100	RETAINERS, ACRYLIC/COMPOSITE/ COMPOMER WITH, OR WITHOUT CAST OR PREFABRICATED METAL BASES
67110	Retainers, Acrylic, Composite/Compomer, Indirect
67113	Retainers, Acrylic, Composite/Compomer, Provisional, Indirect (lab fabricated/relined intra-orally)	$291.82 +Lab Costs	$291.82 +Lab Costs