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25C - AGMT GROUP INSURANCE
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25C - AGMT GROUP INSURANCE
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Last modified
2/1/2018 7:02:12 PM
Creation date
2/1/2018 7:10:52 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Personnel Services
Item #
25C
Date
2/6/2018
Destruction Year
2023
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D6114 Implant/ abutment supported fixed denture for edentulous arch - maxlllary <br />D6115 Implant / abutment supported fixed denture for edentulous arch - mandibular <br />D6116 Implant / abutment supported fixed denture for partially edentulous arch - maxlllary <br />D6117 Implant / abutment supported fixed denture for partially edentulous arch - mandibular <br />D6118 Implant/abutment supported interim fixed denture for edentulous arch - mandibular <br />D6119 Implant/abutment supported Interim fixed denture for edentulous arch - maxillary <br />D6190 Radiographic/surgical Implant Index, by Report <br />D6093 Re -cement or re -bond Implant/abutment supported fixed partial denture <br />D6194 Abutment supported retainer crown for FPD - (titanium) <br />D6199 Unspecified Implant procedure, by report <br />D6200 - D6999 PROSTHODONTICS, FIXED <br />(Each retainer and each pontic constitutes a unit in a fixed partial denture) <br />Fixed partial denture pontics <br />D6205 Pontic - Indirect resin based composite <br />D6210 Pontic - cast high noble metal <br />D6211 Pontic - cast predominantly base metal <br />D6212 Pontic - cast noble metal <br />D6214 Pontic - titanium <br />D6240 Pontic - porcelain fused to high noble metal <br />D6241 Pontic - porcelain fused to predominantly base metal <br />D6242 Pontic - porcelain fused to noble metal <br />D6245 Pontic - porcelain/ceramic <br />D6250 Pontic - resin with high noble metal <br />D6251 Pontic - resin with predominantly base metal <br />D6252 Pontic - resin with noble metal <br />D6253 Provisional pontic - further treatment or completion of a diagnosis necessary prior to <br />Impression. <br />Fixed partial denture retainers - inlays/ onlays <br />D6545 Retainer - cast metal for resin bonded fixed prosthesis <br />D6548 Retainer - porcelain/ceramic for resin bonded fixed prosthesis <br />D6549 Resin retainer - for resin bonded fixed prosthesis <br />D6600 Retainer Inlay - porcelain/ceramic, two surfaces <br />D6601 Retainer Inlay - porcelain/ceramic, three or more surfaces <br />D6602 Retainer Inlay - cast high metal, two surfaces <br />D6603 Retainer Inlay - cast high metal, three or more surfaces <br />D6604 Retainer inlay - cast predominantly base metal, two surfaces <br />D6605 Retainer inlay -. cast predominantly base metal, three or more surfaces <br />D6606 Retainer inlay - cast noble metal, two surfaces <br />D6607 Retainer Inlay - cast noble metal, three or more surfaces <br />D6608 Retainer onlay - porcelaln/ceramic, two surfaces <br />D6609 Retainer onlay - porcelain/ceramic, three or more surfaces <br />D6610 Retainer onlay - cast high noble metal, two surfaces <br />D6611 Retainer onlay - cast high noble metal, three or more surfaces <br />D6612 Retainer onlay - cast predominantly base metal, two surfaces <br />D6613 Retainer onlay - cast predominantly base metal, three or more surfaces <br />D6614 Retainer onlay - cast noble metal, two surfaces <br />D6615 Retainer onlay - cast noble metal, three or more surfaces <br />D6624 Retainer Inlay - titanium <br />D6634 Retainer onlay - titanium <br />Fixed partial denture retainers - crowns <br />D6710 <br />Retainer crown - indirect resin based composite <br />D6720 <br />Retainer crown - resin with high noble metal <br />D6721 <br />Retainer crown - resin with predominantly base metal <br />D6722 <br />Retainer crown - resin with noble metal <br />10 CD72018 (Eff. 01-01-18) <br />25C-85 <br />
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