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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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Comprehensive orthodontic treatment <br />D8070 Comprehensive orthodontic treatment of the transitional dentition <br />D8080 Comprehensive orthodontic treatment of the adolescent dentition <br />D8090 Comprehensive orthodontic treatment of the adult dentition <br />Minor treatment to control harmful habits <br />D8210 Removable appliance therapy <br />D8220 Fixed appliance therapy <br />Other orthodontic services <br />D8660 Pre-orthodontic treatment visit <br />D8670 Periodic orthodontic treatment'visit (as part of contract) <br />D8680 Orthodontic retention (removal of appliances, construction and placement of retainer[s]) <br />D8690 Orthodontic treatment (alternative billing to a contract fee) <br />D8691 Repair of orthodontic appliance <br />D8692 Replacement of lost or broken retainer <br />D8693 Rebonding or recementing; and/or repaid, as required, of fixed retainers <br />D8999 Unspecified orthodontic procedure, by report <br />D9000 - D9999 ADJUNCTIVE GENERAL SERVICES <br />Unclassified treatment <br />D9110 Palliative (emergency) treatment of dental pain - minor procedure <br />D9120 Fixed partial denture sectioning <br />Anesthesia <br />D9210 Local anesthesia not in conjunction with operative or surgical procedures <br />D9211 Regional block anesthesia <br />D9212 Trigeminal division block anesthesia <br />D9215 Local anesthesia <br />D9220 Deep sedation/general anesthesia - first 30 minutes <br />D9221 Deep sedation/general anesthesia - each additional 15 minutes <br />D9230 Analgesia, anxiolysis, inhalation of nitrous oxide <br />D9241 Intravenous conscious sedation/ analgesia - first 30 minutes <br />D9242 Intravenous conscious sedation/ analgesia - each additional 15 minutes <br />D9248 Non-intravenous conscious sedation <br />Professional consultation <br />D9310 Consultation (diagnostic service provided by dentist or physician other than requesting <br />dentist or physician <br />Professional visits <br />D9410 House/extended care facility call <br />D9420 Hospital call <br />D9430 Office visit for observation (during regularly scheduled hours) - no other services <br />performed <br />D9440 Office visit - after regularly scheduled hours <br />D9450 Case presentation, detailed and extensive treatment planning <br />Drugs <br />D9610 Therapeutic parenteral drug, single administration <br />D9612 Therapeutic parenteral drugs, two or more administrations, different medications <br />D9630 Other drugs and/or medicaments, by report <br />14
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