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Dental consultation (dental diagnosis)
$30.00
Metal porcelain crown (metal porcelain case)
$350.00
Dental cleaning (dental prophylaxis)
$30.00
Periapical radiography or conventional fin
$15.00
Simple dental restoration (simple repair)
$35.00
Complex dental restoration
$50.00
Simple extraction (simple extraction)
$50.00
Pure porcelain crown
$450.00
Removable partial prosthesis acrylic
$500.00