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Crown / Dentures / Fixed prosthodontics / Bridge / Tooth / Endodontic therapy / Post and core / Dental extraction / Deciduous teeth / Dentistry / Restorative dentistry / Prosthodontology


State of California Standard Plan (DHMO) DESCRIPTION OF BENEFITS AND COPAYMENTS The benefits shown below are performed as deemed appropriate by the attending Primary Care Dentist (“PCD”) subject to the limitations an
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Document Date: 2010-10-09 00:22:57


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