81131 Appliance, Maxillary, Simple
| 80000 | ORTHODONTICS |
||
| 81000 | APPLIANCES, ACTIVE, FOR TOOTH GUIDANCE OR MINOR TOOTH MOVEMENT |
||
| 81100 | APPLIANCES, REMOVABLE |
||
| 81130 | Appliances, Removable, Dental Arch Expansion |
||
| 81131 | Appliance, Maxillary, Simple |
$349.31
+Lab Costs |
$349.31
+Lab Costs |