84401 Malocclusions Not Requiring Complete Banding
| 80000 | ORTHODONTICS |
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| 84000 | Comprehensive orthodontic treatment, case type - fixed appliance, PERMANENT DENTITION |
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| 84401 | Malocclusions Not Requiring Complete Banding |
$1747.83 - 4369.59
+Lab Costs |
$1747.83 - 4369.59
+Lab Costs |