| MBT 116-0221 - UR Central - | $29.00 | |
| MBT 116-0225 - UL Central - | $29.00 | |
| MBT 116-0222 - UR Lateral - | $29.00 | |
| MBT 116-0226 - UL Lateral - | $29.00 | |
| MBT 116-0227 - UL Cuspid* - | $29.00 | |
| MBT 116-0223 - UR Cuspid* - | $29.00 | |
| MBT 116-0228 - UL 1st Bicuspid* - | $29.00 | |
| MBT 116-0224 - UR 1st Bicuspid* - | $29.00 | |
| MBT 116-0228 - UL 2nd Bicuspid* - | $29.00 | |
| MBT 116-0220 - Full Case 5 x 5 - | $550.00 | |
| MBT 116-0224 - UR 2nd Bicuspid* - | $29.00 | |
| MBT 116-0230 - LR Cuspid* - | $29.00 | |
| MBT 116-0229 - LR Anteriors - | $29.00 | |
| MBT 116-0231 - LR 1st Bicuspid* - | $29.00 | |
| MBT 116-0232 - LR 2nd Bicuspid* - | $29.00 | |
| MBT 116-0229 - LL Anteriors - | $29.00 | |
| MBT 116-0234 - LL 1st Bicuspid* - | $29.00 | |
| MBT 116-0235 - LL 2nd Bicuspid* - | $29.00 | |
| MBT 116-0233 - LL Cuspid* - | $29.00 |