Page 48 - APPENDICES for Diane Falten
P. 48

PREVENTIVE DENTAL

   Care to prevent or  nd problems with your teeth and gums.





       Oral exam                              Covered under o ce visit               Limits apply




       Cleaning                               Covered under o ce visit               Limits apply





       Fluoride treatment                     Not covered




       Dental x-rays                          Covered under o ce visit               Limits apply
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