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- Amalgam Restorations Primary 1 Surface
- Amalgam Restorations 2 Surfaces
- Amalgam Restorations 3 Surfaces
- Amalgam Restorations 4 Surfaces
- Amalgam Restorations (Permanent) 1 Surface
- Amalgam Restorations (Permanent) 2 Surfaces
- Amalgam Restorations (Permanent) 3 Surfaces
- Amalgam Restorations (Permanent) 4 or More Surfaces
- Composite Restoration (Anterior) 1 Surface
- Composite Restoration (Anterior) 2 Surfaces
- Composite Restoration (Anterior) 3 Surfaces
- Composite Restoration (Anterior) 4 or More Surfaces
- Composite Restoration (Posterior) 1 Surface
- Composite Restoration (Posterior) 2 Surfaces
- Composite Restoration (Posterior) 3 Surfaces
- Composite Restoration (Posterior) 4 Surfaces
- Porcelain Fused to Base Metal Crown
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- Surgical Removal of Residual Root Tips
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- Full Mouth Debridement
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- Replace Tooth on Denture
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