| Dental crown/bridge, temporary | Dental crown/bridge, temporary | Class I
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| Custom-made dental crown, metal/ceramic | Custom-made dental crown, metal/ceramic |
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| Custom-made dental crown, metal/polymer | Custom-made dental crown, metal/polymer |
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| Ceramic dental inlay | Ceramic dental inlay |
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| Complete lower denture | Complete lower denture |
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| Complete upper denture | Complete upper denture |
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| Denture reliner, hard | Denture reliner, hard |
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| Dental veneer, professional | Dental veneer, professional |
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| Denture clasp, metal, custom-made | Denture clasp, metal, custom-made |
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| Bonded dental bridge | Bonded dental bridge |
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| Gold dental inlay | Gold dental inlay |
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