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picture1_2022 Ca Dc Fee Schedule


picture2_2022 Ca Dc Fee Schedule picture3_2022 Ca Dc Fee Schedule

 148x       Filetype PDF       File size 0.10 MB       Source: carpenterssw.org


File: 2022 Ca Dc Fee Schedule
dental plan UnitedHealthcare® Direct Compensation (DC) Contributory CA240/covered dental services CA D1092 ADA DESCRIPTION MEMBER PAYS DIAGNOSTIC SERVICES D0120 PERIODIC ORAL EVALUATION EST PT $0 D0140 LTD ORAL EVALUATION - ...

icon picture PDF Filetype PDF | Posted on 17 Aug 2022 | 2 years ago
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...Dental plan unitedhealthcare direct compensation dc contributory ca covered services d ada description member pays diagnostic periodic oral evaluation est pt ltd problem focus eval surf w incisal ang resin composite crown anterior surface posterior surfaces more post inlay metallic one two onlay three four or porcelain ceramic based indirect with high noble metal predom base substrate fused hi nca b v united healthcare inc this is underwritten by benefit providers of california cast full titanium and alloys recement re bond veneer part cov rest indirectly fabricated prefabricated core reattachment tooth fragment primary stainless steel permanent window esthtc coated stnless sedative filling interim therapeutic restoration dentition buildup including any pins pin retention per addition add fab each same removal prefabr labial laminate chairside...
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