01703 Examination and Diagnosis, Prosthodontic, Fixed Oral Rehabilitation, to include:
| 00000 | DIAGNOSTIC |
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| 01000 | EXAMINATION AND DIAGNOSIS, CLINICAL ORAL |
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| 01700 | EXAMINATIONS AND DIAGNOSIS, PROSTHODONTIC |
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| 01703 | Examination and Diagnosis, Prosthodontic, Fixed Oral Rehabilitation, to include: | $321.03 | $321.03 |
| Details: | History, Medical and Dental |