14622 Two units
| 10000 | PREVENTION |
||
| 14000 | APPLIANCES |
||
| 14600 | APPLIANCES, PERIODONTAL |
||
| 14620 | Appliances, Adjustment, Repair |
||
| 14622 | Two units |
$158.92
+Lab Costs |
$158.92
+Lab Costs |