Careington Dental Plan Summary Schedule of Services – Area 7
I found this summary of dental services at InsuranceCompany.com… it is
for area 7.
0120 |
PERIODIC ORAL EVALUATION | $21.00 |
0140 |
LIMITED ORAL EVALUATION–PROBLEM FOCUS |
$31.00 |
0210 |
X-RAYS–INTRAORAL–COMPLETE SERIES (INC. BITEWINGS) |
$60.00 |
0230 |
X-RAYS–INTRAORAL PERIAPICAL–EACH ADDITIONAL FILM |
$9.00 |
0330 |
PANORAMIC FILM | $51.00 |
1110 |
PROPHY-ADULT CLEANING | $40.00 |
1120 |
PROPHY-CHILD CLEANING | $36.00 |
1351 |
SEALANT-PER TOOTH | $31.00 |
2140 |
AMALGAM-ONE SURFACE PRIMARY | $50.00 |
2150 |
AMALGAM-TWO SURFACE PRIMARY |
$66.00 |
2160 |
AMALGAM-THREE SURFACE PRIMARY | $80.00 |
8090 |
ORTHODONTICS – BRACES |
20% DISCOUNT |
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