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EMPLOYEE GROUP INS. RENEWALS -2012
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EMPLOYEE GROUP INS. RENEWALS -2012
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Last modified
2/16/2017 12:29:05 PM
Creation date
7/12/2013 10:31:02 AM
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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
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Denture rebase procedures <br />D5710 Rebase complete maxillary denture <br />D5711 Rebase complete mandibular denture <br />D5720 Rebase maxillary partial denture <br />D5721 Rebase mandibular partial denture <br />Denture reline procedures <br />D5730 Reline complete maxillary denture (chairside) <br />D5731 Reline complete mandibular denture (chairside) <br />D5740 Reline maxillary partial denture (chairside) <br />D5741 Reline mandibular partial denture (chairside) <br />D5750 Reline complete maxillary denture (laboratory) <br />D5751 Reline complete mandibular denture (laboratory) <br />D5760 Reline maxillary partial denture (laboratory) <br />D5761 Reline mandibular partial denture (laboratory) <br />Interim prosthesis <br />D5810 Interim complete denture (maxillary) <br />D5811 Interim complete denture (mandibular) <br />D5820 Interim partial denture (maxillary) <br />D5821 Interim partial denture (mandibular) <br />Other removable prosthetic services <br />D5850 Tissue conditioning - maxillary <br />D5851 Tissue conditioning - mandibular <br />D5860 Overdenture - complete, by report <br />D5861 Overdenture - partial, by report <br />D5862 Precision attachment, by report <br />D5867 Replacement of replaceable part of semi-precision or precision attachment (male or female <br />component) <br />D5875 Modification of removable prosthesis following implant surgery <br />D5899 Unspecified removable prosthodontic procedure, by report <br />D5900 - D5999 MAXILLOFACIAL PROSTHETICS <br />D5911 Facial moulage (sectional) <br />D5912 Facial moulage (complete) <br />D5913 Nasal prosthesis <br />D5914 Auricular prosthesis <br />D5915 Orbital prosthesis <br />D5916 Ocular prosthesis <br />D5919 Facial prosthesis <br />D5922 Nasal septal prosthesis <br />D5923 Ocular prosthesis, interim <br />D5924 Cranial prosthesis <br />D5925 Facial augmentation implant prosthesis <br />D5926 Nasal prosthesis, replacement <br />D5927 Auricular prosthesis, replacement <br />D5928 Orbital prosthesis, replacement <br />D5929 Facial prosthesis, replacement <br />D5931 Obturator prosthesis, surgical <br />D5932 Obturator prosthesis, definitive <br />D5933 Obturator prosthesis, modification <br />D5934 Mandibular resection prosthesis with guide flange <br />D5935 Mandibular resection prosthesis without guide flange <br />D5936 Obturator prosthesis, interim <br />D5937 Trismus appliance (not for TMD treatment)
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