23122 Tooth Colored Veneer Application - Non Prefabricated Direct Buildup - Bonded
| 20000 | RESTORATION |
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| 23000 | RESTORATIONS, TOOTH COLOURED/PLASTIC WITH/WITHOUT SILVER FILINGS |
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| 23100 | RESTORATIONS, TOOTH COLOURED, PERMANENT ANTERIORS, NON BONDED TECHNIQUE |
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| 23120 | Restorations, Tooth Coloured, Veneer Applications |
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| 23122 | Tooth Colored Veneer Application - Non Prefabricated Direct Buildup - Bonded | $347.61 | $347.61 |