81114 Appliance, Mandibular, Bilateral
80000 | ORTHODONTICS |
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81000 | APPLIANCES, ACTIVE, FOR TOOTH GUIDANCE OR MINOR TOOTH MOVEMENT |
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81100 | APPLIANCES, REMOVABLE |
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81110 | Appliances, Removable, Space Regaining |
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81114 | Appliance, Mandibular, Bilateral |
$349.31
+Lab Costs |
$349.31
+Lab Costs |