| Dental Appliances/Prostheses | | Class I
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| Dental crown, ceramic | |
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| Dental crown, metal | |
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| Dental crown, metal/ceramic | |
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| Dental crown, metal/polymer | |
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| Dental crown, polymer | |
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| Ceramic dental inlay | |
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| Gold dental inlay | |
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| Dental crown/bridge, temporary | |
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| Resin dental inlay | |
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| Denture reliner, hard | |
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| Denture clasp, metal, custom-made | |
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| Dental bridge, ceramic | |
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| Dental bridge, metal-ceramic | |
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| Bonded dental bridge | |
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| Dental bridge, metal-polymer | |
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| Dental bridge, polymer | |
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| Complete lower denture | |
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| Complete upper denture | |
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| Overdenture | |
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| Partial denture | |
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| Root canal post, custom-made | |
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| Orthodontic retainer | |
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| Dental occlusal splint, custom-made | |
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| Custom-made mouthguard | |
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| Dental implant suprastructure, permanent, custom-made | |
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