81272 Appliance, Mandibular, Simple
| 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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| 81270 | Appliance, Fixed, Alignment of Incisor Teeth |
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| 81272 | Appliance, Mandibular, Simple |
$436.94
+Lab Costs |
$436.94
+Lab Costs |