16514 Four units
| 10000 | PREVENTION |
||
| 16500 | OCCLUSION |
||
| 16510 | Occlusal Adjustment/Equilibration: |
||
| 16514 | Four units | $365.4 | $365.4 |
| 10000 | PREVENTION |
||
| 16500 | OCCLUSION |
||
| 16510 | Occlusal Adjustment/Equilibration: |
||
| 16514 | Four units | $365.4 | $365.4 |