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Please enter the amount you paid for dental treatments
Type of dental work:
Apiectomy
Braces
Bridge
Cancellation fee
Combined Treatments
Dental Crown - Composite
Dental Crown - Gold
Dental Crown - Porcelain
Dental Examination
Dentures - Full
Dentures - Partial
First Consultation
Hygiene Clean
Implants
Large tooth filling
Large tooth filling - White
Root canal
Sedated tooth removal
Small tooth filling
Small tooth filling - White
Tooth Extraction
Tooth Scale and Polish
Veneer
Whitening
Wisdom tooth extraction
X-ray
Number of teeth/treatments:
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Detailed Description:
Optionally, but it will help others, please explain the treatment you underwent in your own words.
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How much did it cost? ($'s):
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