53212 Mandibular
| 50000 | PROSTHODONTICS - REMOVABLE |
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| 53000 | DENTURES, PARTIAL, CAST WITH ACRYLIC BASE |
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| 53200 | DENTURES, PARTIAL, TOOTH-BORNE, CAST FRAME/CONNECTOR, CLASPS AND RESTS |
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| 53210 | Dentures, Partial, Tooth Borne, Cast Frame/Connector, Clasps and Rests, (Immediate) (includes first |
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| 53212 | Mandibular |
$1001.14
+Lab Costs |
$1001.14
+Lab Costs |