| Dental Appliances/Prostheses | Dental Appliances/Prostheses | Class I
|
| Dental crown metal/ceramic | Dental crown metal/ceramic |
|
| Dental bridge metal-ceramic | Dental bridge metal-ceramic |
|
| Dental crown ceramic | Dental crown ceramic |
|
| Bonded dental bridge | Bonded dental bridge |
|
| Dental crown metal | Dental crown metal |
|
| Root canal post custom-made | Root canal post custom-made |
|
| Ceramic dental inlay | Ceramic dental inlay |
|
| Resin dental inlay | Resin dental inlay |
|
| Gold dental inlay | Gold dental inlay |
|
| Dental crown/bridge temporary | Dental crown/bridge temporary |
|
| Dental occlusal splint custom-made | Dental occlusal splint custom-made |
|