16513 Three units
| 10000 | PREVENTION |
||
| 16500 | OCCLUSION |
||
| 16510 | Occlusal Adjustment/Equilibration: |
||
| 16513 | Three units | $274.06 | $274.06 |
| 10000 | PREVENTION |
||
| 16500 | OCCLUSION |
||
| 16510 | Occlusal Adjustment/Equilibration: |
||
| 16513 | Three units | $274.06 | $274.06 |