83202 Appliance, Mandibular
| 80000 | ORTHODONTICS |
||
| 83000 | APPLIANCES, RETENTION, ORTHODONTIC RETAINING APPLIANCES |
||
| 83200 | APPLIANCES, FIXED/CEMENTED, RETENTION |
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| 83202 | Appliance, Mandibular |
$349.31
+Lab Costs |
$349.31
+Lab Costs |