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TOPICAL FLUORIDE TREATMENT (OFFICE PROCEDURE) | January 1, 2025

TOPICAL APPLICATION OF FLUORIDE- EXCLUDING VARNISH

INLAY/ONLAY RESTORATIONS | January 1, 2025

INLAY – PORCELAIN/CERAMIC – ONE SURFACE

INLAY/ONLAY RESTORATIONS | January 1, 2025

INLAY – PORCELAIN/CERAMIC – TWO SURFACES

INLAY/ONLAY RESTORATIONS | January 1, 2025

INLAY – PORCELAIN/CERAMIC – THREE OR MORE SURFACES

OTHER PREVENTIVE SERVICES | January 1, 2025

APPLICATION OF CARIES ARRESTING MEDICAMENT – PER TOOTH