56121 Maxillary
| 50000 | PROSTHODONTICS - REMOVABLE |
||
| 56000 | DENTURES, REPLICATION, RELINING AND REBASING |
||
| 56100 | DENTURES, REPLICATION, PROVISIONAL |
||
| 56120 | Dentures, Replication, Partial Denture (Provisional) (No Intra-oral Impression Required) |
||
| 56121 | Maxillary |
$171.44
+Lab Costs |
$171.44
+Lab Costs |