14200 APPLIANCES, FIXED/CEMENTED, CONTROL OF ORAL HABITS
| 10000 | PREVENTION |
||
| 14000 | APPLIANCES |
||
| 14200 | APPLIANCES, FIXED/CEMENTED, CONTROL OF ORAL HABITS | ||
| 14201 | Appliance, Maxillary |
599.74
+Lab Costs |
599.74
+Lab Costs |
| 14202 | Appliance, Mandibular |
599.74
+Lab Costs |
599.74
+Lab Costs |