81141 Appliance, Maxillary, Simple
| 80000 | ORTHODONTICS |
||
| 81000 | APPLIANCES, ACTIVE, FOR TOOTH GUIDANCE OR MINOR TOOTH MOVEMENT |
||
| 81100 | APPLIANCES, REMOVABLE |
||
| 81140 | Appliances, Removable, Closure of Diastemas |
||
| 81141 | Appliance, Maxillary, Simple |
$349.31
+Lab Costs |
$349.31
+Lab Costs |