83101 Appliance, Maxillary
| 80000 | ORTHODONTICS |
||
| 83000 | APPLIANCES, RETENTION, ORTHODONTIC RETAINING APPLIANCES |
||
| 83100 | APPLIANCES, REMOVABLE, RETENTION |
||
| 83101 | Appliance, Maxillary |
$262.16
+Lab Costs |
$262.16
+Lab Costs |