23220 Permanent Molars

20000	RESTORATION
23000	RESTORATIONS, TOOTH COLOURED/PLASTIC WITH/WITHOUT SILVER FILINGS
23200	RESTORATIONS, TOOTH COLOURED/ PLASTIC WITH/WITHOUT SILVER FILINGS, PERMANENT POSTERIORS NON BONDED
23220	Permanent Molars
23221	One surface	125.14	125.14
23222	Two surfaces	163.73	163.73
23223	Three surfaces	191.89	191.89
23224	Four surfaces	223.2	223.2
23225	Five surfaces or maximum surface per tooth	280.58	280.58