27125 Crowns, Acrylic/Composite/Compomer, Direct, Provisional Implant-supported
| 20000 | RESTORATION |
||
| 27000 | CROWNS, SINGLE UNITS ONLY |
||
| 27100 | CROWNS, ACRYLIC/COMPOSITE/COMPOMER, |
||
| 27120 | Crowns, Acrylic/Composite/Compomer, Direct |
||
| 27125 | Crowns, Acrylic/Composite/Compomer, Direct, Provisional Implant-supported |
$206.56
+Material Expenses |
$206.56
+Mater. Exp. |