72331 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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| 72330 | Removals, Residual Roots, Bone Tissue Coverage |
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| 72331 | First tooth | $249.99 | $249.99 |