22300 RESTORATIONS PREFABRICATED, METAL, PERMANENT TEETH
| 20000 | RESTORATION |
||
| 22000 | RESTORATIONS, PREFABRICATED, FULL COVERAGE |
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| 22300 | RESTORATIONS PREFABRICATED, METAL, PERMANENT TEETH | ||
| 22301 | Permanent Anterior |
245.38 | 245.38 |
| 22302 | Permanent Anterior - open face |
313.39 | 313.39 |
| 22311 | Permanent Posterior |
245.37 | 245.37 |
| 22312 | Permanent Posterior - open face |
286.25 | 286.25 |