81132 Appliances, Mandibular, Simple
| 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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| 81130 | Appliances, Removable, Dental Arch Expansion |
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| 81132 | Appliances, Mandibular, Simple |
$349.31
+Lab Costs |
$349.31
+Lab Costs |