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picture1_Family Therapy Pdf 44755 | 1p953 Options Ppo 20 Passive Contrib Fs10 100 17974


picture2_Family Therapy Pdf 44755 | 1p953 Options Ppo 20 Passive Contrib Fs10 100 17974 picture3_Family Therapy Pdf 44755 | 1p953 Options Ppo 20 Passive Contrib Fs10 100 17974

 88x       Filetype PDF       File size 0.15 MB       Source: www.uhc.com


File: Family Therapy Pdf 44755 | 1p953 Options Ppo 20 Passive Contrib Fs10 100 17974
UnitedHealthcare® dental plan National Options PPO 20 Network/covered dental services 1P953 /FS10 NETWORK NON-NETWORK Individual Annual Deductible $50 $50 Family Annual Deductible $150 $150 Annual Maximum Benefit (The total benefit ...

icon picture PDF Filetype PDF | Posted on 17 Aug 2022 | 2 years ago
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...Unitedhealthcare dental plan national options ppo network covered services p fs non individual annual deductible family maximum benefit the total payable by will not exceed highest per person listed amount for either or calendar year applies to preventive and diagnostic no waiting period months major guidelines pays periodic oral evaluation limited times consecutive radiographs bitewing series of films complete panorex time intraoral extraoral lab other tests prophylaxis cleanings fluoride treatments persons under age years sealants once first second permanent molar every space maintainers limit basic restorations amalgam anterior composite multiple on one surface be treated as a single filling general emergency treatment separate only if service was done during visit than x rays occlusal guards guard anesthesia when clinically necessary simple extractions tooth lifetime surgery brush biopsy surgical partial bony endodontics pulpotomy root canal therapy periodontal maintenance followin...
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