25114 Three surfaces, modified
| 20000 | RESTORATION |
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| 25000 | RESTORATIONS, INLAYS, ONLAYS, PINS AND POSTS |
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| 25100 | RESTORATIONS INLAYS |
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| 25110 | Inlays, Metal |
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| 25114 | Three surfaces, modified |
$821.4
+Lab Costs |
$821.4
+Lab Costs |