14312 Two units
| 10000 | PREVENTION |
||
| 14000 | APPLIANCES |
||
| 14300 | CONTROL OF ORAL HABITS, MISCELLANEOUS |
||
| 14310 | Myofunctional Therapy |
||
| 14312 | Two units |
$171.35
+Lab Costs |
$171.35
+Lab Costs |