13602 Two units
| 10000 | PREVENTION |
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| 13000 | PREVENTIVE SERVICES, OTHER |
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| 13600 | TOPICAL APPLICATION TO HARD TISSUE LESION(S) OF AN ANTIMICROBIAL OR REMINERALIZATION |
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| 13602 | Two units |
$148.02
+Material Expenses |
$148.02
+Mater. Exp. |