| Monthly Salary |
New denture/appliance (EachTooth) ($) |
Modification of existing denture/applicance (Remodel, reline, repair, or each additional tooth) ($) |
Obturator ($) |
Maximum charge for restorations in both jaws ($) |
Maximum charge for restorations in one jaw ($) |
Bridge per retainer/pontic (for Maryland bridgework charges are halved) ($) |