DIAGNOSTIC RESTORATIVE (CONTINUED) ENDONTICS PREVENTIVE ...
$318 SPACE MAINTAINER - REMOVABLE - BILATERAL .... $194 PREFAB POST&CORE ADD FIX PART DENTUR RET .... $330 RETAINER - PORCELN/CERAMIC RSN BONDED FIX P ...
http://missdentalplan.com/assets/Mississippi Dental Plan Fee Schedule.pdf
FEE SCHEDULE UPDATE
$308 SPACE MAINTAINER - REMOVABLE - BILATERAL .... $174 PREFAB POST&CORE ADD FIX PART DENTUR RET .... $300 RETAINER - PORCELN/CERAMIC RSN BONDED FIX P ...
http://missdentalplan.com/page25/page26/files/mississippi_dental_plan_fee_schedule_limitations.pdf
IN THE NAME OF GOD
iners, whether they ore removable or fix. 1- They should maintain the mesiodistal ... cooperation ,a particular type of space maintainer my be indicated.'' ...
http://idochp2.irandoc.ac.ir/fulltextmanager/fulltext15/TH/23/23737.pdf
HEALTHPARTNERS FEE
SCHEDULE
SPACE MAINTAINER - FIXED-BILATERAL. D1520. SPACE MAINTAINER - REMOVABLE-UNILATERAL ..... CAST POST&CORE IN ADDITION FIX PART DENTURE RETAINER ...
http://www.healthpartners.com/files/23627.pdf
HumanaDental DHMO CS150P Plan
D1520 Space maintainer—removable, unilateral . ... D1550 Recementation of space maintainer . ..... D6545 Retn—cast metal resin bond fix prosth. ...
http://www.mdc.edu/hr/Benefits/DentalInsurance/HumanaDental/HumanDHMODental.pdf
dentalCOMPANION
d1520 Space Maintainer - Removable-Unilateral ... d1550 Recementation Of Space Maintainer .... d6970 Cast Post & Core Addition Fix Part Denture Retainer ...
https://tda.securesites.net/docs/dentalCompanionPolicy.pdf.pdf
INDIANA MEDICAID DENTAI, FEE SCHEDULE
D1525 SPACE MAINTAINER - REMOVABLE-B. D1550 RECEMENTATION OF SPACE MAINTAI ... REMOVE FIX SPACE MAINTAIN. $36.50. D2140. AMALGAM-ONE SURFACE, PRIMARY 0 ...
http://www.indental.org/uploads/Indiana Medicaid Dental Fee Schedule.pdf
Delta
Dental PPO Plus Premier
1 Jan 2009 ... D1520 SPACE MAINTAINER-REMOVABLE-UNILATERAL. $206.50 ..... This is a temporary fix and may loosen other permanent teeth. ...
http://www.nage.org/state/trustfund/71348_schedule.pdf
DENTAL FEE SCHEDULE CODE DESCRIPTION ALLOWANCE 080 ORTHODONTICS
...
SPACE MAINTAINER - REMOVABLE - UNILATERAL. $150.00 .... IMPLANT/ABUTMENT SUPPORTED FIX .... MINOR TOOTH MOVEMNT, REMOVABLE APPLIANCE THERAPY. $231.00 ...
http://www.acrtrust.org/planrules/healthtrust/dental_fee_sched2_08.pdf
Teachers Health Trust
SPACE MAINTAINER - REMOVABLE - UNILATERAL. $126.72 ... RE-CEMENTATION OF SPACE MAINTAINER ..... REBONDING/RECEMENT TO FIX RETAINER ...
https://teachershealthtrust.org/pdf/DentalFeeSched/2009DentalFeeSchedule.pdf
Teachers Health Trust
SPACE MAINTAINER - REMOVABLE - UNILATERAL. $132.48 ..... MODIFICATION OF REMOVABLE PROSTHESIS FOLLOWING IMPLANT SURGE ..... FIX PARTIAL DENTURE SECTION ...
https://teachershealthtrust.org/pdf/DentalFeeSched/2007DentalFeeSchedule.pdf
ADA Code
Space Maintainer—Fixed—Unilateral. $178.00 ... Space Maintainer—Removable—Bilateral. $372.00 ..... Facial Bones—Complete Red with Fix/Mult Surg Appr *** ...
http://www.local4funds.org/Local4funds/Health and Welfare/Dental Fee Schedule.pdf
DENTAL CARE -
SIMPLIFIED DELTACARE MEANS… HOW IT WORKS…
Fixed and removable space maintainers are limited to one placement per tooth; ..... Retainer cast metal for resin bond fix Optional ...
http://www.pace.edu/hr/benefits/DCNJCopayment.pdf
Covered and Non-Covered Dental Services July 1, 2009
D1520 space maintainer-removable unilateral ...... D9120 fix partial denture sectioning. No. No. D9210 local anesthesia ...
https://www.dhs.state.or.us/policy/healthplan/guides/dental/cov-noncov0709.pdf
Non-Covered Services Payment Policy
D1520 HCPCS SPACE MAINTAINER - REMOVABLE-UNI ... D1550 HCPCS RECEMENTATION OF SPACE MAINTAINER ..... E2291 HCPCS BACK PLANR PED WC FIX ATTCH HARDWRE ...
http://www.fchp.org/NR/rdonlyres/1BC70A7D-27BE-47D8-B857-FCC49B590CF8/0/NonCoveredServs9109.pdf
ADVANTAGE - AVN2
D1520 Space maintainer, removable unilateral ........$0.00. D1525 Space maintainer, removable bilateral . ..... D6972 Prefab post & core add fix part dentur ...
http://www.compbenefits.com/custom/stateofmissouri/avn2-sched.pdf
AdvantagePlus 1S
D1520 Space maintainer - removable-unilateral. (limited to child <14) ..............................$66.00 ..... D6972 Prefab post&core add fix part dentur ...
http://www.compbenefits.com/custom/alachuasb/advantageplus-schedule.pdf
UPFS 2002 - Oral Health Code Book
Space Maintenance (passive Appliances). Space maintainer - fix ed, per abutment unit(8173). B. Space maintainer - removable (all-inclusive fee)(8175) ...
http://www.doh.gov.za/programmes/upfs/docs/archives/2002/oralhealth.pdf
Dental Practitioners 2009
8175 Space maintainer - removable. 04.00. 186.10. (163.30). +L B. OTHER PREVENTIVE PROCEDURES ..... medicament to fix or modify the superficial pulp tissue. ...
http://www.doh.gov.za/docs/misc/nhrpl/2009/dental_practitioners.pdf
Protect-A-Dent Indemnity Plan
1525 Space Maintainer – Removable – Bilateral. 172. 1550 Recementation Of Space Maintainer. 22. 2140 Amalgam – One Surface, Primary Or Permanent ...
http://www.pachamberinsurance.com/PDFs/DentalNetworkBooklets2007/Select4MemberCert2007.pdf
Protect-A-Dent Indemnity Plan
1525 Space Maintainer – Removable – Bilateral. 150. 1550 Recementation Of Space Maintainer. 19. 2140 Amalgam – One Surface, Primary Or Permanent ...
http://www.pachamberinsurance.com/PDFs/DentalNetworkBooklets2007/Premier2MemberCert2007.pdf
10998MI Ind Dental 9_05
Space maintainer, removable bilateral. 80%. $150. Basic Dental Care .... alter, correct, fix, improve, remove, replace, reposition, restore or otherwise ...
http://www.business-health-insurance.com/MI_IndDentalBrochure.pdf
New Jersey
Space maintainer-remov. uni./bialateral No Cost. D1550. Recementation of space maintainer .... Removable partial denture. $300.00. D5410/5411. Denture Adjustments-max./mand. ... Retainer cast metal for resin bond fix $290.00 ...
http://www.universityhealthplans.com/brochures_pdf/StevensDentalCopays.pdf
D0120
PERIODIC ORAL EVALUATION $33.24 1 unit/per 11 mos. D0140 ...
D1550 RECEMENT SPACE MAINTAINER. 00. NC. NC. $22.55. D1555 REMOVE FIX SPACE .... D5281 REMOVABLE PARTIAL DENTURE. 00. 00. 00. $410.00 1 unit/per 60 mos. ...
http://dhcfp.state.nv.us/Rates/PT/PT 22 Dental 090527.pdf
Prudent Buyer Dental Exclusive Plan 3000 D entalB enefits
Any treatment to alter, correct, fix, improve, remove, replace, ... Replacement of an existing fixed or removable prosthesis, is not a ... Space Maintainers. Use of space maintainers in excess of one treatment per lifetime, which ...
http://www.lisibroker.com/members/product/pdf/forms/AnthemBC_51-250_PruBuyer-DentalExc-3000.pdf
Summary
of Benefits and Member Co-insurance Costs Includes ADA and ...
Space maintainer-removable unilateral ..... Removable unilateral partial dent-met base, cast clasp ..... Prefab post/core in add to fix part dent ret ...
http://www.mc.uky.edu/Dentistry/patients/pdf/summary0506.pdf
2006-2007
Approved UKDC Dental fee schedule
D1510A D1510 Space maintainer-fixed unilateral ...... D6972 Prefab post/core in add to fix part dent ret .... D8210A D8210 Removable appliance therapy ...
http://www.mc.uky.edu/dentistry/patients/pdf/fees0607.pdf
SECTION 5G - DENTAL BENEFIT PROVISIONS
The amount of payment made by Medavie Blue Cross is not intended to fix the values of the ... Space maintainer appliances, maintenance and repairs .... PROSTHODONTIC SERVICES - REMOVABLE. Complete Dentures (limited to one complete upper ...
http://www.acadiau.ca/human/main_sections/files/BENEFITS/Dental.pdf
Flagship Dental
Plans
01510/1515 Space maintainer-fixed uni./hilateral No Cost. 01520/1525 Space maintainer-remov, uni./bialateral No Cost .... PROSTHETICS (Removable and Fixed bridges & dentures) ... Retainer cast metal for resin bond fix $230.00 ...
http://bongobob.net/delta_care_info2.pdf
DHS OMAP Administrative Rulebook - Dental Program 123
(f) Space Management – Removable space maintainers will not be ...... D9120 fix partial denture sectioning. No. No. D9210 local anesthesia ...
http://www.dhs.state.or.us/policy/healthplan/history/dental/123rb0108.pdf
Montana
Medicaid - Fee Schedule Dental January 1, 2008
REMOVE FIX SPACE MAINTAINER. 1/1/2007. BY REPORT. $0.00. 000. 020. D2140 ..... REMOVABLE PROSTHODONTIC PROC. 1/1/1998. BY REPORT. $0.00 ...
http://medicaidprovider.hhs.mt.gov/pdf/prov18jan08.pdf
Montana
Medicaid - Fee Schedule Oral Surgeon October 2007 Definitions:
REMOVE FIX SPACE MAINTAINER. 1/1/2007. BY REPORT ..... REMOVABLE PROSTHODONTIC PROC. 1/1/1998. BY REPORT. $0.00. D6205. PONTIC-INDIRECT RESIN BASED ...
http://medicaidprovider.hhs.mt.gov/pdf/provosoct07.pdf
Attachments Catalogue
Space maintainer. 1. Brass. 200004490. Paralleling mandrel. 1. Stainless Steel .... ideal for fixed bridges, removable partial dentures and ...
http://www.metalordental.com/uploads/media/Catalogue_Attachments_01.pdf
C and U procedure code 5
D1555 REMOVAL OF FIXED SPACE MAINTAINER ..... Periodontics. Prosthodontics,. Removable. Maxillofacial. Prosthetics. Oral &. Maxillofacial. Surgery. Endodontics. Page 2 of 8 ... OPEN TREAT MANDIBULAR FRACTURE W/FIX ...
http://hrsa.dshs.wa.gov/dentalproviders/Data/C and U procedure code 5.pdf
Traditional Dental Plan
Denture Repair is a procedure done to fix a complete, immediate, ... Implant Supported Prosthetic is a crown, bridge, or removable partial or full ..... Space maintainers are a benefit once per space. Space maintainers for primary ...
http://www.oregon.gov/DAS/PEBB/docs/PDF/2010/MemberHandbooks/ODSTrad20091231.pdf
Immediate
vs late orthodontic extrusion of traumatically intruded ...
by D Traumatology - 2009 - Related articles
http://www.uff.br/ortodontia/2009_DentTraumat_Medeiros.pdf
advantage
Space maintainer - removable-unilateral. (limited to child <14) $66.00 ..... D6972 Prefab post&core add fix part dentur ...
http://www.sbac.edu/~wpops/agenda/agen2009/07-28-09I/6.pdf
For
orthodontic applications For periodontal splinting For ...
As orthodontic retainer and space maintainer. Retainer: it replaces the traditional .... Adapt the fibres and fix using Enamel Plus HFO Flow. Fiber cut. Using a surgical blade, .... orthodontic, temporary & removable acrylic prosthesis.
http://www.komposhop.fi/PDF/TenderFiber english.pdf
o DELIA DENTAL
4 Mar 2009 ... Space maintainer· removable· unilateral ..... Retainer - cast metal for resin bonded fix.ed prosthesis. Retainer - porcelain/ceramic for ...
http://www.iatse-115.com/DentalFeeSchedule.pdf
Blue
Cross HMOSM (CaliforniaCare)
Replacement of an existing fixed or removable prosthesis, is not a ... Space Maintainers. Use of space maintainers in excess of one treatment per lifetime, ...
http://www.anthem.com/ca/member/f0/s0/t0/pw_a120382.pdf
Specialty
Products for California
Any treatment to alter, correct, fix, improve, remove, replace, reposition, ... Space maintainers for Insureds over sixteen (16) years of age. ... Prosthetic Replacements: Replacement of fixed or removable prosthesis, if replacement ...
http://www.anthem.com/ca/visitor/f2/s2/t3/pw_a133434.pdf
CLM Ext-37-1
08 0708 070908 Dental Claim Guidelines
1 Aug 2008 ... SPACE MAINTAINER - REMOVABLE-UNILATERAL ... RECEMENTATION OF SPACE MAINTAINER ...... INTRAORAL PLCMT FIX DEVICE NOT CONJUNCTION ...
http://www.hmaa.com/docs/dentalclaimguidelines.pdf
Administrative
Procedure Manual
SPACE MAINTAINER - REMOVABLE-UNILATERAL ..... RECEMENT IMPL/ABUTMNT SUPPORTED FIX PART. DENTURE ..... INTRAORAL PLCMT FIX DEVICE NOT CONJUNCTION ...
http://www.hmaa.com/docs/admin_manual_dentist.pdf
CompBenefits Advantage AVN2 Dental Plan Policy
Space maintainer, removable unilateral . ..... Cast post & core add fix part denture retainer (limit 1 every. 5 years) . ...
http://www.lakecountyfl.gov/documents/employee_services/open_enrollment/CompBenefits_Advantage_Policy.pdf
Layout
1
space maintainers). 100%. Fee schedule*. Basic Services. (fillings, oral surgery) ..... Harmful Habit Appliances: Fixed and removable Appliances to ...
http://www.insurancebyjohn.com/pdf/DentalBlueBrochure.pdf
Preferred
Dentist Manual
Bridges, fixed and removable. • Single crown restorations to restore diseased or ...... Recementation of a fixed space maintainer by the same dentist or ... Benefits are not available to recement crowns or fix bridges within one year of ...
http://www.bcbsal.org/providers/manuals/dentalManual.pdf
American Heritage
Life Insurance Company Policy G-DEN-P
Recementation Space Maintainer. $45.00. CATEGORY II - RESTORATIVE ... Implant/Abutment Supported Removable Denture for Completely Edentulous ...
http://www.jmmarketing.biz/pdf/NASCOEplan3.PDF
American Heritage
Life Insurance Company Policy G-DEN-P
Recementation Space Maintainer. $29.25. CATEGORY II - RESTORATIVE ... Implant/Abutment Supported Removable Denture for Completely Edentulous ...
http://www.jmmarketing.biz/pdf/NASCOEplan1.PDF
Severe alveolar bone resorption
complete removable denture wearer.1–3. Treatments using the placement of den- .... a titanium mesh as a space maintainer after ridge expansion. They placed the ... with space maintenance by the rigid fix- ...
http://pdfs.journals.lww.com/implantdent/2008/03000/A_Two_Stage_Full_Arch_Ridge_Expansion_Technique_.8.pdf
28 Topics Available on DVD
IF IT AIN'T BROKE, WHY FIX IT: RATIONALE & METHODOLOGY FOR. DIAGNOSING AND TREATING CUSP. FRACTURES ... Removable implant prosthodontics comprise the majority of ... composites, fractured incisors and space maintainers. Dr. Berman and ...
http://www.dentistry.ubc.ca/Education/CDE/Videos/Canada/Quebec.pdf
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