54301 Maxillary
| 50000 | PROSTHODONTICS - REMOVABLE |
||
| 54000 | DENTURES, ADJUSTMENTS |
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| 54300 | DENTURE ADJUSTMENTS, PARTIAL, OR COMPLETE DENTURE, REMOUNT AND OCCLUSAL |
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| 54301 | Maxillary |
$722.74
+Lab Costs |
$722.74
+Lab Costs |