| Dental Appliances/Prostheses | Dental Appliances/Prostheses | Class I
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| Custom-made dental crown ceramic | Custom-made dental crown ceramic |
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| Custom-made dental crown metal | Custom-made dental crown metal |
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| Custom-made dental crown metal/ceramic | Custom-made dental crown metal/ceramic |
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| Gold dental inlay | Gold dental inlay |
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| Dental cusp permanent | Dental cusp permanent |
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| Dental bridge metal-ceramic | Dental bridge metal-ceramic |
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| Dental veneer professional | Dental veneer professional |
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| Root canal post custom-made | Root canal post custom-made |
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| Dental occlusal splint custom-made | Dental occlusal splint custom-made |
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| Denture reliner hard | Denture reliner hard |
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| Denture reliner soft professional | Denture reliner soft professional |
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| Complete lower denture | Complete lower denture |
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| Complete upper denture | Complete upper denture |
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| Partial denture | Partial denture |
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