25130 Inlays, Porcelain/Ceramic/Polymer Glass
| 20000 | RESTORATION |
||
| 25000 | RESTORATIONS, INLAYS, ONLAYS, PINS AND POSTS |
||
| 25100 | RESTORATIONS INLAYS |
||
| 25130 | Inlays, Porcelain/Ceramic/Polymer Glass | ||
| 25131 | One surface |
455.75
+Lab Costs |
455.75
+Lab Costs |
| 25132 | Two surfaces |
510.99
+Lab Costs |
510.99
+Lab Costs |
| 25133 | Three surfaces |
690.44
+Lab Costs |
690.44
+Lab Costs |
| 25134 | Three surfaces, modified |
722.24
+Lab Costs |
722.24
+Lab Costs |