14102 Appliance, Mandibular
| 10000 | PREVENTION |
||
| 14000 | APPLIANCES |
||
| 14100 | APPLIANCES, REMOVABLE, CONTROL OF ORAL HABITS |
||
| 14102 | Appliance, Mandibular |
$546.42
+Lab Costs |
$546.42
+Lab Costs |