21301 Restorations, Amalgam Core, Non-Bonded, in Conjunction with Crown or Fixed Bridge Retainer
| 20000 | RESTORATION |
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| 21000 | RESTORATIONS, AMALGAM |
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| 21300 | Restorations, Amalgam Cores |
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| 21301 | Restorations, Amalgam Core, Non-Bonded, in Conjunction with Crown or Fixed Bridge Retainer | $206.56 | $206.56 |