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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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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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Fixed partial denture retainers - crowns <br />D6710 Crown - indirect resin based composite <br />D6720 Crown - resin with high noble metal <br />D6721 Crown - resin with predominantly base metal <br />D6722 Crown - resin with noble metal <br />D6740 Crown - porcelain/ceramic <br />D6750 Crown - porcelain fused to high noble metal <br />D6751 Crown - porcelain fused to predominantly base metal <br />D6752 Crown - porcelain fused to noble metal <br />D6780 Crown - 3/4 cast high noble metal <br />D6781 Crown - 3/4 cast predominantly base metal <br />D6782 Crown - 3/4 cast noble metal <br />D6783 Crown - 3/4 porcelain/ceramic <br />D6790 Crown - full cast high noble metal <br />D6791 Crown - full cast predominantly base metal <br />D6792 Crown - full cast noble metal <br />D6793 Provisional retainer crown <br />D6794 Crown - titanium <br />Other fixed partial denture services <br />D6920 Connector bar <br />D6930 Recement fixed partial denture <br />D6940 Stress breaker <br />D6950 Precision attachment <br />D6970 Post and core in addition to fixed partial denture retainer, indirectly fabricated <br />D6972 Prefabricated post and core in addition to fixed partial denture retainer <br />D6973 Core buildup for retainer, including any pins <br />D6975 Coping - metal <br />D6976 Each additional indirectly fabricated post - same tooth <br />D6977 Each additional prefabricated post - same tooth <br />D6980 Fixed partial denture repair, by report <br />D6985 Pediatric partial denture, fixed <br />D6999 Unspecified, fixed prosthodontic procedure, by report <br />D7000 - D7999 ORAL AND MAXILLOFACIAL SURGERY <br />Extractions (includes local anesthesia, suturing, if needed, and routine postoperative care) <br />D7111 Extraction, coronal remnants - deciduous tooth <br />D7140 Extraction, erupted tooth or exposed root (elevation and/or forceps removal) <br />Surgical extractions (includes local anesthesia, suturing, if needed, and routine <br />postoperative care) <br />D7210 Surgical removal of erupted tooth requiring removal of bone and/or sectioning of tooth, and <br />including elevation of mucoperiosteal flap if indicated <br />D7220 Removal of impacted tooth - soft tissue <br />D7230 Removal of impacted tooth - partially bony <br />D7240 Removal of impacted tooth - completely bony <br />D7241 Removal of impacted tooth - completely bony, with unusual surgical complications <br />D7250 Surgical removal of residual tooth roots (cutting procedure) <br />Other surgical procedures <br />D7260 Oroantral fistual closure <br />D7261 Primary closure of a sinus perforation <br />D7270 Tooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth <br />D7272 Tooth transplantation (includes reimplantation from one site to another and splinting and/or <br />stabilization) <br />10
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