My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
EMPLOYEE GROUP INS. RENEWALS -2012
Clerk
>
Contracts / Agreements
>
E
>
EMPLOYEE GROUP INS. RENEWALS -2012
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/16/2017 12:29:05 PM
Creation date
7/12/2013 10:31:02 AM
Metadata
Fields
Template:
Contracts
Company Name
EMPLOYEE GROUP INS. RENEWALS
Contract #
A-2012-170
Agency
PERSONNEL SERVICES
Council Approval Date
8/6/2012
Expiration Date
12/13/2013
Destruction Year
2018
Notes
Amends A-2002-208 Amended by A-2014-176, A-2015-206, A-2015-207
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
19
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Non-surgical periodontal service <br />D4320 Provisional splinting - intracoronal <br />D4321 Provisional splinting - extracoronal <br />D4341 Periodontal scaling and root planing - four or more teeth per quadrant <br />D4342 Periodontal scaling and root planing, - one to three teeth, per quadrant <br />D4355 Full mouth debridement to enable comprehensive evaluation and diagnosis <br />D4381 Localized delivery of antimicrobial agents via a controlled release vehicle into diseased <br />crevicular tissue, per tooth, by report <br />Other periodontal services <br />D4910 Periodontal maintenance <br />D4920 Unscheduled dressing change (by someone other than treating dentist) <br />D4999 Unspecified periodontal procedure, by report <br />135000 - D5899 PROSTHODONTICS (REMOVABLE) <br />Complete dentures (including routine post-delivery care) <br />D5110 Complete denture - maxillary <br />D5120 Complete denture - mandibular <br />D5130 Immediate denture - maxillary <br />D5140 Immediate denture - mandibular <br />Partial dentures (including routine post-delivery care) <br />D5211 Maxillary partial denture - resin base (including any conventional clasps, rests and teeth) <br />D5212 Mandibular partial denture - resin base (including any conventional clasps, rests and teeth) <br />D5213 Maxillary partial denture - cast metal framework with resin denture bases (including any <br />conventional clasps, rests and teeth) <br />D5214 Mandibular partial denture - cast metal framework with resin denture bases (including any <br />conventional clasps, rests and teeth) <br />D5225 Maxillary partial denture - flexible base (including any clasps, rests and teeth) <br />D5226 Mandibular partial denture - flexible base (including any clasps, rests and teeth) <br />D5281 Removable unilateral partial denture - one piece cast metal (including clasps and teeth) <br />Adjustments to dentures <br />D5410 Adjust complete denture - maxillary <br />D5411 Adjust complete denture - mandibular <br />D5421 Adjust partial denture - maxillary <br />D5422 Adjust partial denture - mandibular <br />Repairs to complete dentures <br />D5510 Repair broken complete denture base <br />D5520 Replace missing or broken teeth - complete denture (each tooth) <br />Repairs to partial dentures <br />D5610 Repair resin denture base <br />D5620 Repair cast framework <br />D5630 Repair or replace broken clasp <br />D5640 Replace broken teeth - per tooth <br />D5650 Add tooth to existing partial denture <br />D5660 Add clasp to existing partial denture <br />D5670 Replace all teeth and acrylic on cast metal framework (maxillary) <br />D5671 Replace all teeth and acrylic on cast metal framework (mandibular)
The URL can be used to link to this page
Your browser does not support the video tag.