28101 Natural Tooth Preparation, Placement of Pulp Chamber Restoration (amalgam or composite) and Fluoride Application Endodontically Treated Tooth
| 20000 | RESTORATION |
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| 28000 | RESTORATIVE PROCEDURES, OVERDENTURES |
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| 28100 | RESTORATIVE PROCEDURES, OVERDENTURES, DIRECT |
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| 28101 | Natural Tooth Preparation, Placement of Pulp Chamber Restoration (amalgam or composite) and Fluoride Application Endodontically Treated Tooth | $228.39 | $228.39 |