MISCELLANEOUS SERVICES | January 1, 2025 EXTERNAL BLEACHING FOR HOME APPLICATION – PER ARCH; INCLUDES MATERIALS AND FABRICATING OF CUSTOM TRAYS
INTERIM PROSTHESIS | January 1, 2025 INTERIM PARTIAL DENTURE (INCLUDING RETENTIVE/CLASPING MATERIALS, RESTS, AND TEETH), MANDIBULAR
INTERIM PROSTHESIS | January 1, 2025 INTERIM PARTIAL DENTURE (INCLUDING RETENTIVE/CLASPING MATERIALS, RESTS, AND TEETH), MAXILLARY
ADJUNCTIVE GENERAL SERVICES | MISCELLANEOUS SERVICES | January 1, 2025 FABRICATION OF A CUSTOM REMOVABLE CLEAR PLASTIC TEMPORARY AESTHETIC APPLIANCE
