88101 Class l Malocclusion
| 80000 | ORTHODONTICS |
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| 88000 | Comprehensive orthodontic treatment, case type - removable appliances, PERMANENT DENTITION |
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| 88101 | Class l Malocclusion |
$1747.83 - 5243.5
+Lab Costs |
$1747.83 - 5243.5
+Lab Costs |