16519 Each additional unit over four
| 10000 | PREVENTION |
||
| 16500 | OCCLUSION |
||
| 16510 | Occlusal Adjustment/Equilibration: |
||
| 16519 | Each additional unit over four | $91.34 | $91.34 |
| 10000 | PREVENTION |
||
| 16500 | OCCLUSION |
||
| 16510 | Occlusal Adjustment/Equilibration: |
||
| 16519 | Each additional unit over four | $91.34 | $91.34 |