My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
EMPLOYEE GROUP INSURANCE RENEWALS/LONG TERM DISABILITY, MEDICAL, DENTAL, VISION, EMPLOYEE ASSISTANCE, GROUP LIFE/ ACCIDENTAL DEATH/DISMEMBERMENT - 2014
Clerk
>
Contracts / Agreements
>
E
>
EMPLOYEE GROUP INSURANCE RENEWALS/LONG TERM DISABILITY, MEDICAL, DENTAL, VISION, EMPLOYEE ASSISTANCE, GROUP LIFE/ ACCIDENTAL DEATH/DISMEMBERMENT - 2014
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/18/2015 4:58:39 PM
Creation date
3/16/2015 3:02:35 PM
Metadata
Fields
Template:
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
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
18
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Other restorative services <br />D2910 Re- cement or re -bond inlay, onlay, veneer or partial coverage restorations <br />D2915 Re- cement or re -bond indirectly fabricated or prefabricated post and core <br />D2920 <br />Re- cement or re -bond crown <br />D2921 <br />Reattachment of tooth fragment, incisal edge or cusp <br />D2929 <br />Prefabricated porcelain /ceramic crown - primary tooth <br />D2930 <br />Prefabricated stainless steel crown — primary tooth <br />D2931 <br />Prefabricated stainless steel crown — permanent tooth <br />D2932 <br />Prefabricated resin crown <br />D2933 <br />Prefabricated stainless steel crown with resin window <br />D2934 <br />Prefabricated esthetic coated stainless steel crown — primary tooth <br />D2940 <br />Sedative filling <br />D2941 <br />Interim therapeutic restoration - primary dentition <br />D2950 <br />Core buildup, including any pins when required <br />D2951 <br />Pin retention — per tooth, in addition to restoration <br />D2952 <br />Post and core in addition to crown, indirectly fabricated <br />D2953 <br />Each additional indirectly fabricated post — same tooth <br />D2954 <br />Prefabricated post and core in addition to crown <br />D2955 <br />Post removal <br />D2957 <br />Each additional prefabricated post — same tooth <br />D2960 <br />Labial veneer (resin laminate) — chairside <br />D2961 <br />Labial veneer (resin laminate) — laboratory <br />D2962 <br />Labial veneer (porcelain laminate) — laboratory <br />D2970 <br />Temporary crown (fractured tooth) <br />D2971 Additional procedures to construct new crown under existing partial denture <br />framework <br />D2975 Coping <br />D2980 Crown repair, necessitated by restorative material failure <br />D2999 Unspecified restorative procedure, by report <br />D3000 - D3999 ENDODONTICS <br />Pulp capping <br />D3110 Pulp cap — direct (excluding final restoration) <br />D3120 Pulp cap — indirect (excluding final restoration) <br />Pulpotomy <br />D3220 Therapeutic pulpotomy (excluding final restoration) — removal of pulp corona) to the <br />dentinocemental junction and application of medicament <br />D3221 Pulpal debridement, primary and permanent teeth <br />D3222 Partial pulpotomy for apexogenesis- permanent tooth with incomplete root <br />development <br />D3230 Pulpal therapy (resorbable filling) — anterior, primary tooth (excluding final <br />restoration) <br />D3240 Pulpal therapy (resorbable filling) — posterior, primary tooth (excluding final <br />restoration) <br />Endodontic therapy on primary teeth (including treatment plan, clinical procedures and <br />follow -up care) <br />D3310 Endodontic therapy, anterior tooth (excluding final restoration) <br />D3320 Endodontic therapy, bicuspid tooth (excluding final restoration) <br />D3330 Endodontic therapy, molar tooth (excluding final restoration) <br />D3331 Treatment of root canal obstruction; non - surgical access <br />D3332 Incomplete endodontic therapy; inoperable, unrestorable or fractured tooth <br />D3333 Internal root repair of perforation defects <br />CDT2015 (Eff. 01- 01 -15) <br />
The URL can be used to link to this page
Your browser does not support the video tag.