Page 82 - APPENDICES for Fred Falten
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Cleaning
Not covered
Fluoride treatment
Not covered
Dental x-rays
Not covered
COMPREHENSIVE DENTAL
Non-routine services
Not covered
Diagnostic services
Not covered
Restorative services
Not covered
Endodontics
Not covered
Periodontics
Not covered
Extractions
Not covered
Prosthodontics, other oral/maxillofacial surgery, other services
Not covered
VISION
