01302 Examination and Diagnosis, Stomatognathic Dysfunctional, Limited
| 00000 | DIAGNOSTIC |
||
| 01000 | EXAMINATION AND DIAGNOSIS, CLINICAL ORAL |
||
| 01300 | EXAMINATIONS AND DIAGNOSIS, STOMATOGNATHIC, DYSFUNCTIONAL |
||
| 01302 | Examination and Diagnosis, Stomatognathic Dysfunctional, Limited | $85.68 | $85.68 |