| Requirement | Dental Fee | Qty | Unit Price | Amount |
|---|---|---|---|---|
|
Ruiz, Rhonda
1) Patient name: Ruiz, Rhonda
2) Tooth position: #13-23
3) Restoration type: Veneered Zirconia Bridge
4) Shade: 1M2
| 1) PFM crown: 2×22=44 2) Half Arch Digital Scan Model: 1×5=10 Totol Fee: 54 |
1 | 100.00$ | 100.00$ |