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Plan 605xsd Description of Benefits & Member Copayments ADA CODE BENEFIT
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Document Date: 2012-04-16 09:12:19


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File Size: 32,00 KB

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City

perm / /

Company

Dominion Dental Services Inc. / Charge D0140 Limited / /

Currency

USD / /

Event

FDA Phase / Product Issues / /

IndustryTerm

metal / stainless steel / cast metal / resin w/ metal / cast metal framework / piece cast metal / noble metal / treatment of dental disease / treatment of TMD (Temporal Mandibular Disorder / out-of-area emergency dental services / base metal / /

MedicalCondition

neoplasms / cysts / dental disease / anodontic / mandibular prognathism / Temporal Mandibular Disorder / non-pathologic / asymptomatic impacted teeth / impacted tooth / unerupted tooth / abscess / injuries / /

MedicalTreatment

Incision / Retreatment / Elective surgery / amputation / counseling / surgery / /

Movie

No Charge D0240 Intraoral / /

Organization

American Dental Association / ADJUNCTIVE D9439 Office / /

Person

ADA CODE / /

Position

dentist / Participating Dentist / participating specialist / participating general dentist / Plan Specialist / D9940 Occlusal guard / orthodontist / attending dentist / /

Product

office appointment / D8010 / /

ProgrammingLanguage

ADA / /

RadioStation

128 Core / 140 Core / /

Technology

x-ray / /

SocialTag