Displaying 601 - 640 of 2652
| 25500 | RESTORATIONS, ONLAYS (where one or more cusps are restored) |
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| 25510 | Onlays, Cast Metal, Indirect |
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| 25512 | Onlays, Cast Metal, Indirect (Bonded external retention type) |
$711.27
+Lab Costs |
$711.27
+Lab Costs |
| 25500 | RESTORATIONS, ONLAYS (where one or more cusps are restored) |
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| 25520 | Onlays, Composite/Compomer, Processed (Bonded) |
| 25500 | RESTORATIONS, ONLAYS (where one or more cusps are restored) |
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| 25520 | Onlays, Composite/Compomer, Processed (Bonded) |
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| 25521 | Onlays, Composite/Compomer, Indirect (Bonded) |
$861.59
+Lab Costs |
$861.59
+Lab Costs |
| 25500 | RESTORATIONS, ONLAYS (where one or more cusps are restored) |
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| 25530 | Onlays, Porcelain/Ceramic/Polymer glass (Bonded) |
| 25500 | RESTORATIONS, ONLAYS (where one or more cusps are restored) |
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| 25530 | Onlays, Porcelain/Ceramic/Polymer glass (Bonded) |
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| 25531 | Onlays, Porcelain/Ceramic/Polymer Glass (Bonded) |
$861.59
+Lab Costs |
$861.59
+Lab Costs |
| 25000 | RESTORATIONS, INLAYS, ONLAYS, PINS AND POSTS |
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| 25600 | PINS, RETENTIVE (for inlays, onlays and crowns per tooth) |
| 25600 | PINS, RETENTIVE (for inlays, onlays and crowns per tooth) |
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| 25601 | One pin/tooth |
$46.55
+Lab Costs |
$46.55
+Lab Costs |
| 25600 | PINS, RETENTIVE (for inlays, onlays and crowns per tooth) |
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| 25602 | Two pins/tooth |
$88.94
+Lab Costs |
$88.94
+Lab Costs |
| 25600 | PINS, RETENTIVE (for inlays, onlays and crowns per tooth) |
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| 25603 | Three pins/tooth |
$140.9
+Lab Costs |
$140.9
+Lab Costs |
| 25600 | PINS, RETENTIVE (for inlays, onlays and crowns per tooth) |
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| 25604 | Four pins/tooth |
$172.58
+Lab Costs |
$172.58
+Lab Costs |
| 25600 | PINS, RETENTIVE (for inlays, onlays and crowns per tooth) |
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| 25605 | Five or more pins/tooth |
$203.23
+Lab Costs |
$203.23
+Lab Costs |
| 25000 | RESTORATIONS, INLAYS, ONLAYS, PINS AND POSTS |
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| 25700 | POSTS |
| 25700 | POSTS |
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| 25710 | Posts, Cast Metal, (including core) As A Separate Procedure |
| 25700 | POSTS |
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| 25710 | Posts, Cast Metal, (including core) As A Separate Procedure |
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| 25711 | Single section |
$347.27
+Lab Costs |
$347.27
+Lab Costs |
| 25700 | POSTS |
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| 25710 | Posts, Cast Metal, (including core) As A Separate Procedure |
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| 25712 | Two sections |
$417.14
+Lab Costs |
$417.14
+Lab Costs |
| 25700 | POSTS |
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| 25710 | Posts, Cast Metal, (including core) As A Separate Procedure |
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| 25713 | Three sections |
$547.53
+Lab Costs |
$547.53
+Lab Costs |
| 25700 | POSTS |
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| 25720 | Posts, Cast Metal (including core) Concurrent with Impression for Crown |
| 25700 | POSTS |
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| 25720 | Posts, Cast Metal (including core) Concurrent with Impression for Crown |
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| 25721 | Single section |
$198.15
+Lab Costs |
$198.15
+Lab Costs |
| 25700 | POSTS |
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| 25720 | Posts, Cast Metal (including core) Concurrent with Impression for Crown |
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| 25722 | Two sections |
$266.98
+Lab Costs |
$266.98
+Lab Costs |
| 25700 | POSTS |
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| 25720 | Posts, Cast Metal (including core) Concurrent with Impression for Crown |
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| 25723 | Three sections |
$333.7
+Lab Costs |
$333.7
+Lab Costs |
| 25700 | POSTS |
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| 25730 | Post, Prefabricated Retentive |
| 25700 | POSTS |
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| 25730 | Post, Prefabricated Retentive |
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| 25731 | One post |
$165.85
+Material Expenses |
$165.85
+Mater. Exp. |
| 25700 | POSTS |
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| 25730 | Post, Prefabricated Retentive |
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| 25732 | Two posts same tooth |
$275.33
+Material Expenses |
$275.33
+Mater. Exp. |
| 25700 | POSTS |
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| 25730 | Post, Prefabricated Retentive |
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| 25733 | Three posts same tooth |
$375.42
+Material Expenses |
$375.42
+Mater. Exp. |
| 25700 | POSTS |
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| 25740 | Posts, Prefabricated, Retentive and Cast Core |
| 25700 | POSTS |
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| 25740 | Posts, Prefabricated, Retentive and Cast Core |
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| 25741 | One post and cast core |
$288.9
+Lab Costs +Material Expenses |
$288.9
+Lab Costs +Mater. Exp. |
| 25700 | POSTS |
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| 25740 | Posts, Prefabricated, Retentive and Cast Core |
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| 25742 | Two posts (same tooth) and cast core |
$365.02
+Lab Costs +Material Expenses |
$365.02
+Lab Costs +Mater. Exp. |
| 25700 | POSTS |
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| 25740 | Posts, Prefabricated, Retentive and Cast Core |
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| 25743 | Three posts (same tooth) and cast core |
$455.75
+Lab Costs +Material Expenses |
$455.75
+Lab Costs +Mater. Exp. |
| 25700 | POSTS |
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| 25770 | Posts, Provisional |
| 25700 | POSTS |
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| 25770 | Posts, Provisional |
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| 25771 | Per post |
$90.73
+Lab Costs +Material Expenses |
$90.73
+Lab Costs +Mater. Exp. |
| 25700 | POSTS |
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| 25780 | Post Removal |
| 25700 | POSTS |
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| 25780 | Post Removal |
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| 25781 | One unit of time |
$111.59 | $111.59 |
| 25700 | POSTS |
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| 25780 | Post Removal |
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| 25782 | Two units of time |
$222.8 | $222.8 |
| 25700 | POSTS |
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| 25780 | Post Removal |
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| 25783 | Three units of time |
$334.18 | $334.18 |
| 25700 | POSTS |
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| 25780 | Post Removal |
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| 25784 | Four units of time |
$446.63 | $446.63 |
| 25700 | POSTS |
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| 25780 | Post Removal |
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| 25789 | Each additional unit over four |
$111.38 | $111.38 |
| 20000 | RESTORATION |
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| 26000 | MESOSTRUCTURES |
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| Additional Information: | Add'l Info: | (a separate component positioned between the head of an implant and the final restoration, retained |
| 26000 | MESOSTRUCTURES |
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| 26100 | Mesostructures, Osseo-integrated Implant Supported |
| 26100 | Mesostructures, Osseo-integrated Implant Supported |
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| 26101 | Indirect, Angulated or transmucosal pre-fabricated abutment, per implant |
Independent Consideration
+Lab Costs +Material Expenses |
Indep. Consid.
+Lab Costs +Mater. Exp. |
| 26100 | Mesostructures, Osseo-integrated Implant Supported |
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| 26102 | Indirect, Custom laboratory fabricated, per implant |
Independent Consideration
+Lab Costs +Material Expenses |
Indep. Consid.
+Lab Costs +Mater. Exp. |