Page 1 of 5; Effective 10/1/2012 . Important points: • There is a $7 co-pay for each covered service visit at the UF College of Dentistry except for some ...

CDT-2009/2010 Code Description Medicaid Rate D0120 Periodic oral evaluation 25.79 D0140 Limited oral evaluation - problem focused 36.76 ...

Code Description Member Copayment Diagnostic Services Office Visit (includes infection control) $0.00 D0120 Periodic oral evaluation $0.00 D0140 Limited oral ... ...

Ohio State Dental Board www.dental.ohio.gov 77 South High Street, 17th Floor Columbus, Ohio 43215-6135 Phone #: 614/466-2580 Fax #: 614/752-8995 ...

The Delta Dental PPO Value Plan is designed to help you maintain good oral health—providing you with coverage for preventive and diagnostic care and significant ... ...

Blue Cross and Blue Shield of Louisiana and HmO Louisiana, Inc. are pleased to offer you special discounts on dental services. We bring you ...

CDT 2013 Code Description Medicaid Rate D0120 Periodic oral evaluation 25.27 D0140 Limited oral evaluation - problem focused 36.02 D0145 Oral evaluation for a patient ... ...

HCPCS Action Code Covered Benefit CSHCS ONLY * Covered Benefit < 21 * Covered Benefit ≥ 21 Tooth # Tooth Surface Oral Cavity Area Documentation Required ...

Directive Number 8.4 Effective Date 5/1/2007 State of Connecticut Page 1 of 4 Department of Correction ADMINISTRATIVE DIRECTIVE Supersedes Dental Services, dated 8/16 ... ...

institutions that offer low cost dental treatment updated june 13, 2013 ...