Caries susceptibility test. 7.7.1.8 Sealants (for permanent molars of Covered Persons age 15 and under).
Caries susceptibility test. 7.7.1.8 Sealants (for permanent molars of Covered Persons age 15 and under). 7.7.2 Basic and Restorative Services. 7.7.2.1 Emergency Services (during office hours). 7.7.2.2 Pulp treatment. 7.7.2.3 Routine fillings (amalgam and composite resin). 7.7.2.4 Simple extractions. 7.7.2.5 Complicated extractions. 7.7.2.6 Extraction of impacted teeth.