81260 Appliance, Fixed, Closure of Diastemas
| 80000 | ORTHODONTICS |
||
| 81000 | APPLIANCES, ACTIVE, FOR TOOTH GUIDANCE OR MINOR TOOTH MOVEMENT |
||
| 81200 | APPLIANCES, FIXED OR CEMENTED |
||
| 81260 | Appliance, Fixed, Closure of Diastemas | ||
| 81261 | Appliance, Maxillary, Simple |
349.31
+Lab Costs |
349.31
+Lab Costs |
| 81262 | Appliance, Mandibular, Simple |
349.31
+Lab Costs |
349.31
+Lab Costs |