Displaying 481 - 520 of 2652
| 22300 | RESTORATIONS PREFABRICATED, METAL, PERMANENT TEETH |
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| 22301 | Permanent Anterior |
$245.38 | $245.38 |
| 22300 | RESTORATIONS PREFABRICATED, METAL, PERMANENT TEETH |
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| 22302 | Permanent Anterior - open face |
$313.39 | $313.39 |
| 22300 | RESTORATIONS PREFABRICATED, METAL, PERMANENT TEETH |
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| 22311 | Permanent Posterior |
$245.37 | $245.37 |
| 22300 | RESTORATIONS PREFABRICATED, METAL, PERMANENT TEETH |
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| 22312 | Permanent Posterior - open face |
$286.25 | $286.25 |
| 22000 | RESTORATIONS, PREFABRICATED, FULL COVERAGE |
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| 22400 | RESTORATIONS PREFABRICATED, PLASTIC, PRIMARY TEETH |
| 22400 | RESTORATIONS PREFABRICATED, PLASTIC, PRIMARY TEETH |
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| 22401 | Primary Anterior |
$182.5 | $182.5 |
| 22400 | RESTORATIONS PREFABRICATED, PLASTIC, PRIMARY TEETH |
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| 22411 | Primary Posterior |
$182.5 | $182.5 |
| 22000 | RESTORATIONS, PREFABRICATED, FULL COVERAGE |
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| 22500 | RESTORATIONS PREFABRICATED, PLASTIC, PERMANENT TEETH |
| 22500 | RESTORATIONS PREFABRICATED, PLASTIC, PERMANENT TEETH |
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| 22501 | Permanent Anterior |
$243.29 | $243.29 |
| 22500 | RESTORATIONS PREFABRICATED, PLASTIC, PERMANENT TEETH |
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| 22511 | Permanent Posterior |
$243.29 | $243.29 |
| 22000 | RESTORATIONS, PREFABRICATED, FULL COVERAGE |
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| 22600 | RESTORATIONS, PREFABRICATED, PORCELAIN/CERAMIC/POLYMER GLASS, PRIMARY TEETH |
| 22600 | RESTORATIONS, PREFABRICATED, PORCELAIN/CERAMIC/POLYMER GLASS, PRIMARY TEETH |
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| 22601 | Primary Anterior |
$254.21 | $254.21 |
| 22600 | RESTORATIONS, PREFABRICATED, PORCELAIN/CERAMIC/POLYMER GLASS, PRIMARY TEETH |
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| 22611 | Primary Posterior |
$254.21 | $254.21 |
| 20000 | RESTORATION |
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| 23000 | RESTORATIONS, TOOTH COLOURED/PLASTIC WITH/WITHOUT SILVER FILINGS |
| 23000 | RESTORATIONS, TOOTH COLOURED/PLASTIC WITH/WITHOUT SILVER FILINGS |
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| 23100 | RESTORATIONS, TOOTH COLOURED, PERMANENT ANTERIORS, NON BONDED TECHNIQUE |
| 23100 | RESTORATIONS, TOOTH COLOURED, PERMANENT ANTERIORS, NON BONDED TECHNIQUE |
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| 23101 | One surface |
$117.83 | $117.83 |
| 23100 | RESTORATIONS, TOOTH COLOURED, PERMANENT ANTERIORS, NON BONDED TECHNIQUE |
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| 23102 | Two surfaces |
$133.49 | $133.49 |
| 23100 | RESTORATIONS, TOOTH COLOURED, PERMANENT ANTERIORS, NON BONDED TECHNIQUE |
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| 23103 | Three surfaces |
$187.74 | $187.74 |
| 23100 | RESTORATIONS, TOOTH COLOURED, PERMANENT ANTERIORS, NON BONDED TECHNIQUE |
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| 23104 | Four surfaces |
$204.41 | $204.41 |
| 23100 | RESTORATIONS, TOOTH COLOURED, PERMANENT ANTERIORS, NON BONDED TECHNIQUE |
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| 23105 | Five surfaces (maximum surfaces per tooth) |
$244.02 | $244.02 |
| 23100 | RESTORATIONS, TOOTH COLOURED, PERMANENT ANTERIORS, NON BONDED TECHNIQUE |
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| 23110 | Restorations, Permanent Anteriors, Bonded Technique |
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| Additional Information: | Add'l Info: | (not to be used for Veneer Applications or Diastema Closures) |
| 23100 | RESTORATIONS, TOOTH COLOURED, PERMANENT ANTERIORS, NON BONDED TECHNIQUE |
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| 23110 | Restorations, Permanent Anteriors, Bonded Technique |
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| 23111 | One surface |
$142.49 | $142.49 |
| 23100 | RESTORATIONS, TOOTH COLOURED, PERMANENT ANTERIORS, NON BONDED TECHNIQUE |
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| 23110 | Restorations, Permanent Anteriors, Bonded Technique |
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| 23112 | Two surfaces |
$170.56 | $170.56 |
| 23100 | RESTORATIONS, TOOTH COLOURED, PERMANENT ANTERIORS, NON BONDED TECHNIQUE |
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| 23110 | Restorations, Permanent Anteriors, Bonded Technique |
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| 23113 | Three surfaces |
$195.79 | $195.79 |
| 23100 | RESTORATIONS, TOOTH COLOURED, PERMANENT ANTERIORS, NON BONDED TECHNIQUE |
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| 23110 | Restorations, Permanent Anteriors, Bonded Technique |
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| 23114 | Four surfaces |
$256.23 | $256.23 |
| 23100 | RESTORATIONS, TOOTH COLOURED, PERMANENT ANTERIORS, NON BONDED TECHNIQUE |
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| 23110 | Restorations, Permanent Anteriors, Bonded Technique |
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| 23115 | Five surfaces (maximum surfaces per tooth) |
$314.87 | $314.87 |
| 23100 | RESTORATIONS, TOOTH COLOURED, PERMANENT ANTERIORS, NON BONDED TECHNIQUE |
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| 23120 | Restorations, Tooth Coloured, Veneer Applications |
| 23100 | RESTORATIONS, TOOTH COLOURED, PERMANENT ANTERIORS, NON BONDED TECHNIQUE |
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| 23120 | Restorations, Tooth Coloured, Veneer Applications |
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| 23122 | Tooth Colored Veneer Application - Non Prefabricated Direct Buildup - Bonded |
$347.61 | $347.61 |
| 23100 | RESTORATIONS, TOOTH COLOURED, PERMANENT ANTERIORS, NON BONDED TECHNIQUE |
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| 23120 | Restorations, Tooth Coloured, Veneer Applications |
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| 23123 | Tooth Colored Veneer Application - Diastema Closure, Interproximal only, Bonded |
$278.34 | $278.34 |
| 23000 | RESTORATIONS, TOOTH COLOURED/PLASTIC WITH/WITHOUT SILVER FILINGS |
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| 23200 | RESTORATIONS, TOOTH COLOURED/ PLASTIC WITH/WITHOUT SILVER FILINGS, PERMANENT |
| 23200 | RESTORATIONS, TOOTH COLOURED/ PLASTIC WITH/WITHOUT SILVER FILINGS, PERMANENT |
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| 23210 | Permanent Bicuspids |
| 23200 | RESTORATIONS, TOOTH COLOURED/ PLASTIC WITH/WITHOUT SILVER FILINGS, PERMANENT |
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| 23210 | Permanent Bicuspids |
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| 23211 | One surface |
$114.7 | $114.7 |
| 23200 | RESTORATIONS, TOOTH COLOURED/ PLASTIC WITH/WITHOUT SILVER FILINGS, PERMANENT |
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| 23210 | Permanent Bicuspids |
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| 23212 | Two surfaces |
$145.99 | $145.99 |
| 23200 | RESTORATIONS, TOOTH COLOURED/ PLASTIC WITH/WITHOUT SILVER FILINGS, PERMANENT |
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| 23210 | Permanent Bicuspids |
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| 23213 | Three surfaces |
$183.54 | $183.54 |
| 23200 | RESTORATIONS, TOOTH COLOURED/ PLASTIC WITH/WITHOUT SILVER FILINGS, PERMANENT |
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| 23210 | Permanent Bicuspids |
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| 23214 | Four surfaces |
$221.11 | $221.11 |
| 23200 | RESTORATIONS, TOOTH COLOURED/ PLASTIC WITH/WITHOUT SILVER FILINGS, PERMANENT |
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| 23210 | Permanent Bicuspids |
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| 23215 | Five surfaces or maximum surface per tooth |
$232.57 | $232.57 |
| 23200 | RESTORATIONS, TOOTH COLOURED/ PLASTIC WITH/WITHOUT SILVER FILINGS, PERMANENT |
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| 23220 | Permanent Molars |
| 23200 | RESTORATIONS, TOOTH COLOURED/ PLASTIC WITH/WITHOUT SILVER FILINGS, PERMANENT |
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| 23220 | Permanent Molars |
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| 23221 | One surface |
$125.14 | $125.14 |
| 23200 | RESTORATIONS, TOOTH COLOURED/ PLASTIC WITH/WITHOUT SILVER FILINGS, PERMANENT |
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| 23220 | Permanent Molars |
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| 23222 | Two surfaces |
$163.73 | $163.73 |
| 23200 | RESTORATIONS, TOOTH COLOURED/ PLASTIC WITH/WITHOUT SILVER FILINGS, PERMANENT |
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| 23220 | Permanent Molars |
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| 23223 | Three surfaces |
$191.89 | $191.89 |