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CLINICAL ORAL EVALUATIONS | DIAGNOSTIC | January 1, 2026

COMPREHENSIVE PERIODONTAL EVALUATION – NEW OR ESTABLISHED PATIENT

IMPLANT SERVICES | OTHER IMPLANT SERVICES | January 1, 2025

REPLACEMENT OF RESTORATIVE MATERIAL USED TO CLOSE AN ACCESS OPENING OF A SCREW-RETAINED IMPLANT SUPPORTED PROSTHESIS, PER IMPLANT

CLINICAL ORAL EVALUATIONS | DIAGNOSTIC | January 1, 2025

LIMITED ORAL EVALUATION – PROBLEM FOCUSED

TOPICAL FLUORIDE TREATMENT (OFFICE PROCEDURE) | January 1, 2025

TOPICAL APPLICATION OF FLUORIDE- EXCLUDING VARNISH

OTHER PREVENTIVE SERVICES | January 1, 2025

APPLICATION OF CARIES ARRESTING MEDICAMENT – PER TOOTH