EMPLOYEE GROUP INSURANCE RENEWALS/LONG TERM DISABILITY, MEDICAL, DENTAL, VISION, EMPLOYEE ASSISTANCE, GROUP LIFE/ ACCIDENTAL DEATH/DISMEMBERMENT - 2014

Home Browse Search

Fixed partial denture retainers — inlays/ onlays D6545 Retainer — cast metal for resin bonded fixed prosthesis D6548 Retainer — porcelain /ceramic for resin bonded fixed prosthesis D6549 Resin retainer - for resin bonded fixed prosthesis D6600 Inlay — porcelain /ceramic, two surfaces D6601 Inlay — porcelain /ceramic, three or more surfaces D6602 Inlay — cast high metal, two surfaces D6603 Inlay — cast high metal, three or more surfaces D6604 Inlay — cast predominantly base metal, two surfaces D6605 Inlay — cast predominantly base metal, three or more surfaces D6606 Inlay — cast noble metal, two surfaces D6607 Inlay — cast noble metal, three or more surfaces D6608 Onlay — porcelain /ceramic, two surfaces D6609 Onlay — porcelain /ceramic, three or more surfaces D6610 Onlay — cast high noble metal, two surfaces D6611 Onlay — cast high noble metal, three or more surfaces D6612 Onlay — cast predominantly base metal, two surfaces D6613 Onlay — cast predominantly base metal, three or more surfaces D6614 Onlay — cast noble metal, two surfaces D6615 Onlay — cast noble metal, three or more surfaces D6624 Inlay — titanium D6634 Onlay — titanium Fixed partial denture retainers — crowns D6710 Crown — indirect resin based composite D6720 Crown — resin with high noble metal D6721 Crown — resin with predominantly base metal D6722 Crown — resin with noble metal D6740 Crown — porcelain /ceramic D6750 Crown — porcelain fused to high noble metal D6751 Crown — porcelain fused to predominantly base metal D6752 Crown — porcelain fused to noble metal D6780 Crown — 3/4 cast high noble metal D6781 Crown — 3/4 cast predominantly base metal D6782 Crown — 3/4 cast noble metal D6783 Crown — 3/4 porcelain /ceramic D6790 Crown — full cast high noble metal D6791 Crown — full cast predominantly base metal D6792 Crown — full cast noble metal D6793 Provisional retainer crown - further treatment of completion or a diagnosis necessary prior to final impression D6794 Crown — titanium Other fixed partial denture services D6920 Connector bar D6930 Re- cement or re -bond fixed partial denture D6940 Stress breaker D6950 Precision attachment D6980 Fixed partial denture repair necessitated by restorative material D6985 Pediatric partial denture, fixed D6999 Unspecified, fixed prosthodontic procedure, by report D7000 - D7999 ORAL AND MAXILLOFACIAL SURGERY Extractions (includes local anesthesia, suturing, if needed, and routine postoperative care) D7111 Extraction, coronal remnants — deciduous tooth D7140 Extraction, erupted tooth or exposed root (elevation and /or forceps removal) CDT2015 (Eff. 01- 01 -15)