14741 Reline, Direct
| 10000 | PREVENTION |
||
| 14000 | APPLIANCES |
||
| 14700 | APPLIANCES, TEMPOROMANDIBULAR JOINT |
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| 14740 | Appliance, TMJ, Reline |
||
| 14741 | Reline, Direct | $238.38 | $238.38 |