| How many preps involved? | |
| How many pontics or missing teeth? | |
| Did this case include an auxillary scan? | |
| Total Charges |
| How many preps involved? | |
| How many pontics or missing teeth? | |
| Did you mark your own margins? | |
| Is the case Lava? | |
| Did this case include an auxillary scan? | |
| Total Charges |
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