| Requirement | Dental Fee | Qty | Unit Price | Amount |
|---|---|---|---|---|
|
Ng Mat Tou
Tooth position: #25-26
Restoration type: PFM bridge
Shade: A3.5
| PFM crown: 2×22=44 Half Arch Digital Scan Model: 1×5=10 |
1 | $100.00 | $100.00 |
|
Yamahachi Denture Teeth
| 1 | $10.00 | $10.00 |