PREVENTIVE - Page 7

OTHER PREVENTIVE SERVICES | September 16, 2024

CARIES PREVENTIVE MEDICAMENT APPLICATION – PER TOOTH

SPACE MAINTENANCE (PASSIVE APPLIANCES) | September 16, 2024

SPACE MAINTAINER – FIXED, UNILATERAL – PER QUADRANT

SPACE MAINTENANCE (PASSIVE APPLIANCES) | September 16, 2024

SPACE MAINTAINER – FIXED – BILATERAL, MAXILLARY

SPACE MAINTENANCE (PASSIVE APPLIANCES) | September 16, 2024

SPACE MAINTAINER – FIXED – BILATERAL, MANDIBULAR

SPACE MAINTENANCE (PASSIVE APPLIANCES) | September 16, 2024

SPACE MAINTAINER- REMOVABLE, UNILATERAL – PER QUADRANT