81260 Appliance, Fixed, Closure of Diastemas
80000 | ORTHODONTICS |
||
81000 | APPLIANCES, ACTIVE, FOR TOOTH GUIDANCE OR MINOR TOOTH MOVEMENT |
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81200 | APPLIANCES, FIXED OR CEMENTED |
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81260 | Appliance, Fixed, Closure of Diastemas | ||
81261 | Appliance, Maxillary, Simple |
349.31
+Lab Costs |
349.31
+Lab Costs |
81262 | Appliance, Mandibular, Simple |
349.31
+Lab Costs |
349.31
+Lab Costs |