23321 One surface
| 20000 | RESTORATION |
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| 23000 | RESTORATIONS, TOOTH COLOURED/PLASTIC WITH/WITHOUT SILVER FILINGS |
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| 23300 | RESTORATIONS, TOOTH COLORED, PERMANENT POSTERIORS - BONDED |
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| 23320 | Permanent Molars |
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| 23321 | One surface | $156.15 | $156.15 |