72321 First tooth
| 70000 | ORAL MAXILLOFACIAL SURGERY |
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| 72000 | REMOVALS, (EXTRACTIONS), SURGICAL |
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| 72300 | REMOVALS, (EXTRACTIONS), RESIDUAL ROOTS |
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| 72320 | Removals, Residuals Roots, Soft Tissue Coverage |
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| 72321 | First tooth | $170.47 | $170.47 |