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ADM-018 ADEM/EZE Lower Magnetic Plate	$25.50	ADM-018 ADEM/EZE Lower Magnetic Plate quantity	$25.50	×
OR-17D Mixed Dentition: Class II Division 1 Open Bite, Narrow Arch (Hard Base)	$96.50	OR-17D Mixed Dentition:Class II Division 1 Open Bite, Narrow Arch (Hard Base) quantity	$96.50	×
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Subtotal	$122.00
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State Tax	$8.85
Total	$130.85