52401 Maxillary
| 50000 | PROSTHODONTICS - REMOVABLE |
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| 52000 | DENTURES, PARTIAL, ACRYLIC |
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| 52400 | DENTURES, PARTIAL, ACRYLIC, WITH METAL/WROUGHT PALATAL/LINGUAL BAR AND CLASPS |
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| 52401 | Maxillary |
$818.45
+Lab Costs |
$818.45
+Lab Costs |