14631 Reline, Direct
| 10000 | PREVENTION |
||
| 14000 | APPLIANCES |
||
| 14600 | APPLIANCES, PERIODONTAL |
||
| 14630 | Appliances, Reline |
||
| 14631 | Reline, Direct | $238.38 | $238.38 |
| 10000 | PREVENTION |
||
| 14000 | APPLIANCES |
||
| 14600 | APPLIANCES, PERIODONTAL |
||
| 14630 | Appliances, Reline |
||
| 14631 | Reline, Direct | $238.38 | $238.38 |