76112 Acrylic Prosthesis or Cap Splint
| 70000 | ORAL MAXILLOFACIAL SURGERY |
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| 76000 | FRACTURES, TREATMENT OF |
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| 76100 | INTERMAXILLARY FIXATION (WIRING) |
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| 76110 | Splints Per Arch, One Or More Per Jaw |
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| 76112 | Acrylic Prosthesis or Cap Splint | $408.99 | $408.99 |