52211 Maxillary
| 50000 | PROSTHODONTICS - REMOVABLE |
||
| 52000 | DENTURES, PARTIAL, ACRYLIC |
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| 52200 | DENTURES, PARTIAL, ACRYLIC, RESILIENT RETAINER |
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| 52210 | Dentures, Partial, Acrylic, Resilient Retainer, (Immediate) |
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| 52211 | Maxillary |
$243.4
+Lab Costs |
$243.4
+Lab Costs |