3/31/2024 | 90212100 | IMP-FMC-GO33#&Precious metal teeth (with plastic impression sample made in the US and plaster jaw sample made in Vietnam)#&VN | XXXXXXXXXX | 1 | UNIT | 25.5 | USA | NA |
3/31/2024 | 90212100 | IMP-PFM-GO33#&Porcelain teeth with precious metal ribs (with plastic impression sample made in the US and plaster jaw sample made in Vietnam)#&VN | XXXXXXXXXX | 2 | UNIT | 60.2 | USA | NA |
3/31/2024 | 90212100 | IMP-PFM-GO33#&Porcelain teeth with precious metal ribs (with plastic impression sample made in the US and plaster jaw sample made in Vietnam)#&VN | XXXXXXXXXX | 1 | UNIT | 273.9 | USA | NA |
3/31/2024 | 90212100 | IMP-PFM-5433#&Porcelain teeth with precious metal ribs 53.6% Palladium (with plastic impression sample made in the US and plaster jaw sample made in Vietnam)#&VN | XXXXXXXXXX | 1 | UNIT | 316.03 | USA | NA |
3/31/2024 | 90212100 | IOS-PFM-GO13#&IOS precious metal rib porcelain teeth (plastic jaw model available but not included)#&VN | XXXXXXXXXX | 6 | UNIT | 863.82 | USA | NA |
3/31/2024 | 90212100 | IOS-PFM-PL13#&IOS Platinum semi-precious metal rib porcelain teeth (plastic jaw model available but not included)#&VN | XXXXXXXXXX | 7 | UNIT | 372.54 | USA | NA |
3/31/2024 | 90212100 | IOS-PFM-PL03#&Platinum IOS semi-precious metal rib porcelain teeth (no plastic jaw model)#&VN | XXXXXXXXXX | 8 | UNIT | 479.3 | USA | NA |
3/31/2024 | 90212100 | IMP-PFM-PL33#&Platinum semi-precious metal rib porcelain teeth (with plastic impression sample made in the US and plaster jaw sample made in Vietnam)#&VN | XXXXXXXXXX | 24 | UNIT | 1450.7592 | USA | NA |
3/31/2024 | 90212100 | IOS-FMC-GO03#&IOS precious metal teeth (no plastic jaw model)#&VN | XXXXXXXXXX | 4 | UNIT | 865.21 | USA | NA |
3/31/2024 | 90212100 | IOS-PFM-GO03#&IOS precious metal rib porcelain teeth (no plastic jaw model)#&VN | XXXXXXXXXX | 1 | UNIT | 158.81 | USA | NA |