62801 Pontics, Natural Tooth Crown, Direct, Bonded to Adjacent Teeth (Provisional)
| 60000 | PROSTHODONTICS - FIXED |
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| 62000 | PONTICS, BRIDGE |
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| 62800 | PONTICS, NATURAL TOOTH |
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| 62801 | Pontics, Natural Tooth Crown, Direct, Bonded to Adjacent Teeth (Provisional) | $177.28 | $177.28 |