72711 First tooth
| 70000 | ORAL MAXILLOFACIAL SURGERY |
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| 72000 | REMOVALS, (EXTRACTIONS), SURGICAL |
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| 72700 | ENUCLEATION, SURGICAL |
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| 72710 | Unerupted Tooth Follicle |
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| 72711 | First tooth | $499.98 | $499.98 |