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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
Metadata
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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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Resin-based composite restorations-direct <br />D2330 Resin-based composite - one surface, anterior <br />D2331 Resin-based composite - two surfaces, anterior <br />D2332 Resin-based composite - three surfaces, anterior <br />D2335 Resin-based composite - four or more surfaces or involving incisal angle (anterior) <br />D2390 Resin-based composite crown, anterior <br />D2391 Resin-based composite - one surface, posterior <br />D2392 Resin-based composite - two surfaces, posterior <br />D2393 Resin-based composite - three surfaces, posterior <br />D2394 Resin-based composite - four or more surfaces, posterior <br />Gold foil restorations <br />D2410 Gold foil - one surface <br />D2420 Gold foil - two surfaces <br />D2430 Gold foil - three surfaces <br />Inlay/onlay restorations <br />D2510 Inlay - metallic - one surface <br />D2520 Inlay - metallic - two surfaces <br />D2530 Inlay - metallic - three or more surfaces <br />D2542 Onlay - metallic - two surfaces <br />D2543 Onlay - metallic - three surfaces <br />D2544 Onlay - metallic - four or more surfaces <br />D2610 Inlay - porcelain/ceramic - one surface <br />D2620 Inlay - porcelain/ceramic - two surfaces <br />D2630 Inlay - porcelain/ceramic - three or more surfaces <br />D2642 Onlay - porcelain/ceramic - two surfaces <br />D2643 Onlay - porcelain/ceramic - three surfaces <br />D2644 Onlay - porcelain/ceramic - four or more surfaces <br />D2650 Inlay - resin-based composite - one surface <br />D2651 Inlay - resin-based composite - two surfaces <br />D2652 Inlay - resin-based composite - three or more surfaces <br />D2662 Onlay - resin-based composite - two surfaces <br />D2663 Onlay - resin-based composite - three surfaces <br />D2664 Onlay - resin-based composite - four or more surfaces <br />Crowns - single restorations only <br />D2710 Crown _ resin-based composite (indirect) <br />D2712 Crown - 3/4 resin-based composite (indirect) <br />D2720 Crown - resin with high noble metal <br />D2721 Crown - resin with predominantly base metal <br />D2722 Crown - resin with noble metal <br />D2740 Crown - porcelain/ceramic substrate <br />D2750 Crown - porcelain fused to high noble metal <br />D2751 Crown - porcelain fused to predominantly base metal <br />D2752 Crown - porcelain fused to noble metal <br />D2780 Crown - 3/4 cast high noble metal <br />D2781 Crown - 3/4 cast predominantly base metal <br />D2782 Crown - 3/4 cast noble metal <br />D2783 Crown - 3/4 porcelain/ceramic <br />D2790 Crown - full cast high noble metal <br />D2791 Crown - full cast predominantly base metal <br />D2792 Crown - full cast noble metal <br />D2794 Crown - titanium <br />D2799 Provisional crown
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