72311 First tooth
| 70000 | ORAL MAXILLOFACIAL SURGERY |
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| 72000 | REMOVALS, (EXTRACTIONS), SURGICAL |
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| 72300 | REMOVALS, (EXTRACTIONS), RESIDUAL ROOTS |
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| 72310 | Removals, Residual Roots, Erupted |
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| 72311 | First tooth | $115.74 | $115.74 |