| Dental Appliances/Prostheses | Dental Appliances/Prostheses | Class I
|
| Complete upper denture | Complete upper denture |
|
| Denture clasp metal custom-made | Denture clasp metal custom-made |
|
| Complete lower denture | Complete lower denture |
|
| Partial denture | Partial denture |
|
| Denture reliner hard | Denture reliner hard |
|
| Ceramic dental inlay | Ceramic dental inlay |
|
| Gold dental inlay | Gold dental inlay |
|
| Resin dental inlay | Resin dental inlay |
|
| Custom-made dental crown metal | Custom-made dental crown metal |
|
| Bonded dental bridge | Bonded dental bridge |
|
| Custom-made dental crown metal/ceramic | Custom-made dental crown metal/ceramic |
|
| Custom-made dental crown ceramic | Custom-made dental crown ceramic |
|
| Orthodontic retainer | Orthodontic retainer |
|