OTHER ORTHODONTIC SERVICES | January 1, 2025 ORTHODONTIC RETENTION (REMOVAL OF APPLIANCES, CONSTRUCTION AND PLACEMENT OF RETAINER(S))
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
PARTIAL DENTURES (INCLUDING ROUTINE POST-DELIVERY CARE) | September 16, 2024 MAXILLARY PARTIAL DENTURE – FLEXIBLE BASE (INCLUDING RETENTIVE/CLASPING MATERIALS, RESTS, AND TEETH)