OTHER RESTORATIVE SERVICES | January 1, 2025 RE-CEMENT OR RE-BOND INLAY, ONLAY, VENEER OR PARTIAL COVERAGE RESTORATION
TOPICAL FLUORIDE TREATMENT (OFFICE PROCEDURE) | January 1, 2025 TOPICAL APPLICATION OF FLUORIDE VARNISH
MISCELLANEOUS SERVICES | January 1, 2025 EXTERNAL BLEACHING FOR HOME APPLICATION – PER ARCH; INCLUDES MATERIALS AND FABRICATING OF CUSTOM TRAYS
