25121 One surface
| 20000 | RESTORATION |
||
| 25000 | RESTORATIONS, INLAYS, ONLAYS, PINS AND POSTS |
||
| 25100 | RESTORATIONS INLAYS |
||
| 25120 | Inlays, Composite/Compomer, Indirect (Bonded) |
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| 25121 | One surface |
$491.6
+Lab Costs |
$491.6
+Lab Costs |