23100 RESTORATIONS, TOOTH COLOURED, PERMANENT ANTERIORS, NON BONDED TECHNIQUE
| 20000 | RESTORATION |
||
| 23000 | RESTORATIONS, TOOTH COLOURED/PLASTIC WITH/WITHOUT SILVER FILINGS |
||
| 23100 | RESTORATIONS, TOOTH COLOURED, PERMANENT ANTERIORS, NON BONDED TECHNIQUE | ||
| 23101 | One surface |
117.83 | 117.83 |
| 23102 | Two surfaces |
133.49 | 133.49 |
| 23103 | Three surfaces |
187.74 | 187.74 |
| 23104 | Four surfaces |
204.41 | 204.41 |
| 23105 | Five surfaces (maximum surfaces per tooth) |
244.02 | 244.02 |
| 23110 | Restorations, Permanent Anteriors, Bonded Technique |
||
| 23120 | Restorations, Tooth Coloured, Veneer Applications |