MISCELLANEOUS SERVICES | January 1, 2025 EXTERNAL BLEACHING FOR HOME APPLICATION – PER ARCH; INCLUDES MATERIALS AND FABRICATING OF CUSTOM TRAYS
LIMITED ORTHODONTIC TREATMENT | January 1, 2025 LIMITED ORTHODONTIC TREATMENT OF THE PRIMARY DENTITION
LIMITED ORTHODONTIC TREATMENT | January 1, 2025 LIMITED ORTHODONTIC TREATMENT OF THE TRANSITIONAL DENTITION
OTHER ORTHODONTIC SERVICES | January 1, 2025 ORTHODONTIC RETENTION (REMOVAL OF APPLIANCES, CONSTRUCTION AND PLACEMENT OF RETAINER(S))
