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EMPLOYEE GROUP INSURANCE RENEWALS/LONG TERM DISABILITY, MEDICAL, DENTAL, VISION, EMPLOYEE ASSISTANCE, GROUP LIFE/ ACCIDENTAL DEATH/DISMEMBERMENT - 2014
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EMPLOYEE GROUP INSURANCE RENEWALS/LONG TERM DISABILITY, MEDICAL, DENTAL, VISION, EMPLOYEE ASSISTANCE, GROUP LIFE/ ACCIDENTAL DEATH/DISMEMBERMENT - 2014
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3/18/2015 4:58:39 PM
Creation date
3/16/2015 3:02:35 PM
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Contracts
Company Name
EMPLOYEE GROUP INSURANCE RENEWALS/LONG TERM DISABILITY, MEDICAL, DENTAL, VISION, EMPLOYEE ASSISTANCE
Contract #
A-2014-176
Agency
PERSONNEL SERVICES
Council Approval Date
8/5/2014
Expiration Date
12/31/2015
Destruction Year
2020
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D7996 Implant — mandible for augmentation purposes (excluding alveolar ridge), by report <br />D7997 Appliance removal (not by dentist who placed appliance), includes removal of archbar <br />D7998 Intraoral placement of a fixation device not in conjunction with a fracture <br />D7999 Unspecified oral surgery procedure, by report <br />D8000 - D8999 ORTHODONTICS <br />Limited orthodontic treatment <br />D8010 Limited orthodontic treatment of the primary dentition <br />D8020 Limited orthodontic treatment of the transitional dentition <br />D8030 Limited orthodontic treatment of the adolescent dentition <br />D8040 Limited orthodontic treatment of the adult dentition <br />Interceptive orthodontic treatment <br />D8050 Interceptive orthodontic treatment of the primary dentition <br />D8060 Interceptive orthodontic treatment of the transitional dentition <br />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 examination to monitor growth and development <br />D8670 Periodic orthodontic treatment visit <br />D8680 Orthodontic retention (removal of appliances, construction and placement of <br />retainer[s]) <br />D8690 Orthodontic treatment (alternative billing to a contract fee) <br />D8691 <br />Repair of orthodontic appliance <br />D8692 <br />Replacement of lost or broken retainer <br />D8693 <br />Re -bond or re- cement fixed retainer <br />D8694 <br />Repair of fixed retainers, includes reattachment <br />D8999 <br />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 moderate (conscious) sedation /analgesia - first 30 minutes <br />D9242 Intravenous moderate (conscious) sedation /analgesia - each additional 15 minutes <br />D9248 Non - intravenous moderate (conscious) sedation <br />Professional consultation <br />D9310 Consultation (diagnostic service provided by dentist or physician other than requesting <br />dentist or physician <br />CDT2015 (Eff. 01- 01 -15) <br />
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