23323 Three surfaces
| 20000 | RESTORATION |
||
| 23000 | RESTORATIONS, TOOTH COLOURED/PLASTIC WITH/WITHOUT SILVER FILINGS |
||
| 23300 | RESTORATIONS, TOOTH COLORED, PERMANENT POSTERIORS - BONDED |
||
| 23320 | Permanent Molars |
||
| 23323 | Three surfaces | $260.63 | $260.63 |