Dhmo D094c Fee Schedule

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125x Filetype PDF File size 0.10 MB Source: hayscountytx.com

File: Dhmo D094c Fee Schedule

dental plan UnitedHealthcare® DHMO/Managed Care Contributory 130C/covered dental services TX D094C ² ADA DESCRIPTION MEMBER PAYS DIAGNOSTIC SERVICES D0120 PERIODIC ORAL EVALUATION EST PT $0 D0140 LTD ORAL EVALUATION - ...

Filetype PDF | Posted on 17 Aug 2022 | 2 years ago

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...Dental plan unitedhealthcare dhmo managed care contributory c covered services tx dc ada description member pays diagnostic d periodic oral evaluation est pt ltd problem focus eval surf w incisal ang resin compos crown anterior surface posterior surfaces more post inlay metallic one two onlay three four or porceln ceramic ceram rsn resinbased composite indirect resnbased with high noble metal predom base porcelain substrate fused hi metl fusd cast nca b v united healthcare inc this is underwritten by national pacific full titanium recement re bond veneer part cov rest indirectly fabricated prefab core reattachment of tooth fragment prefabricated primary prfabr stainless steel prim perm stnlss wndow esthtc coated stnless sedative filling interim therapeutic restoration dentition buildup including any pins pin retn per addition add fab ea same prefabr...

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Category: Uncategorized / Uncategorized
Posted on: 17 Aug 2022 | 2 years ago
Tag: download pdf, dhmo, d094c, schedule,
Filetype: PDF
File size: 0.10 MB
Views: 125x
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