3/31/2024 | 90212100 | IMP-PFM-NS23#&Supreme regular metal rib porcelain teeth (with plastic impression sample made in the US and plaster jaw sample made in Vietnam but not included)#&VN | XXXXXXXXXX | 1 | UNIT | 33.8 | USA | NA |
3/31/2024 | 90212100 | IMP-PFM-NS33#&Supreme regular metal rib porcelain teeth (with plastic impression sample made in the US and plaster jaw sample made in Vietnam)#&VN | XXXXXXXXXX | 1 | UNIT | 29.8 | USA | NA |
3/31/2024 | 90212100 | IOS-FMC-NS13#&Supreme IOS regular metal teeth (plastic jaw model available but not included)#&VN | XXXXXXXXXX | 1 | UNIT | 23.9 | USA | NA |
3/31/2024 | 90212100 | IOS-PFM-NS13#&Supreme IOS regular metal rib porcelain teeth (plastic jaw model available but not included)#&VN | XXXXXXXXXX | 24 | UNIT | 769.2 | USA | NA |
3/31/2024 | 90212100 | IOS-PFM-NS03#&Supreme IOS regular metal rib porcelain teeth (no plastic jaw model)#&VN | XXXXXXXXXX | 6 | UNIT | 160.2 | USA | NA |
3/31/2024 | 90212100 | IMP-PFM-NS33#&Supreme regular metal rib porcelain teeth (with plastic impression sample made in the US and plaster jaw sample made in Vietnam)#&VN | XXXXXXXXXX | 39 | UNIT | 1208.2005 | USA | NA |
3/31/2024 | 90212100 | IMP-PFM-NS23#&Supreme regular metal rib porcelain teeth (with plastic impression sample made in the US and plaster jaw sample made in Vietnam but not included)#&VN | XXXXXXXXXX | 5 | UNIT | 149 | USA | NA |
3/31/2024 | 90212100 | IMP-PFM-NS24#&Supreme regular metal rib porcelain teeth (with plastic seal sample made in the US and plastic jaw sample made in Vietnam but not included)#&VN | XXXXXXXXXX | 1 | UNIT | 35.9 | USA | NA |
3/31/2024 | 90212100 | IMP-FMC-NS33#&Supreme regular metal teeth (with plastic impression sample made in the US and plaster jaw sample made in Vietnam)#&VN | XXXXXXXXXX | 1 | UNIT | 25.8 | USA | NA |
3/30/2024 | 90212100 | IMP-FMC-NS33#&Supreme regular metal teeth (with plastic impression sample made in the US and plaster jaw sample made in Vietnam)#&VN | XXXXXXXXXX | 3 | UNIT | 86.4 | USA | NA |