Preventive cleaning (periodontal cleaning in the presence of inflamed gums is considered to be a Basic Benefit for payment purposes), topical application of fluoride solutions, space maintainers.
Preventive. Maintenance Supplier’s Preventive Maintenance offerings and responsibilities, and the Authorized User’s associated remedies, are described in Exhibit D.
Preventive. Bitewing X-Ray Cleaning Fluoride Treatments (dependents under age 17) Examinations Sealants Panoramic X-Ray (once per 24-month period)
Preventive health care services under this section of this contract received from a non-participating provider.
Preventive care including but not limited to wellness exams, flea control, worm medication and vaccinations, unless you purchase coverage through our Defender/DefenderPlus endorsement.
Preventive. Maintenance (PM) All PM related to architectural, mechanical, electrical, and plumbing will be performed based on the manufacturer’s recommendations or documented historical evidence (Condition- Based PM). PM will be planned and scheduled by FS. The stakeholder will be contacted only if the work may impact operating conditions of the building. Additional information on PM will be made available upon request. PM work orders are categorized by FS as priorities 5-7 (PM Life Safety, PM Critical Equipment, and PM Non-Critical Equipment). Completion is carefully measured each month and can be referenced on the FS website for all Key Process Indicators (KPI’s).
Preventive predictive, routine and non-routine maintenance and repairs are performed on a basis that ensures reliable, long-term and safe operation, and are performed by knowledgeable, trained and experienced personnel utilizing proper equipment, tools, and procedures.
Preventive. D1110 Prophylaxis - adult $15 No cost Cleaning; 1 of (D1110, D1120, D4346) per 6 months 1 per 6 months D1120 Prophylaxis - child $15 Not a benefit Cleaning; 1 of (D1110, D1120, D4346) per 6 months D1206 Topical application of fluoride varnish $10 No Cost 1 of (D1206, D1208)per 6 months 1 of (D1206 or D1208)per 6 months D1208 Topical application of fluoride - excluding varnish $10 No Cost 1 of (D1206, D1208)per 6 months 1 of (D1206 or D1208)per 6 months D1310 Nutritional counseling for control of dental disease Not a benefit No Cost D1330 Oral hygiene instructions Not a benefit No Cost D1351 Sealant - per tooth $20 Not a benefit Permanent molars without restorations or decay; 1 per 36 months D1352 Preventive resin restoration in a moderate to high caries risk patient - permanent tooth $20 Not a benefit Permanent molars without restorations or decay; 1 per 36 months D1354 Interim caries arresting medicament application - per tooth $10 No Cost 1 per 6 months D1510 Space maintainer - fixed, unilateral - per quadrant $150 Not a benefit D1516 Space maintainer - fixed - bilateral, maxillary $225 Not a benefit D1517 Space maintainer - fixed - bilateral, mandibular $225 Not a benefit D1520 Space maintainer - removable, unilateral - per quadrant $150 Not a benefit D1526 Space maintainer - removable - bilateral, maxillary $225 Not a benefit Code Description Pediatric Enrollee Cost Share1 Adult Enrollee Cost Share2 Clarification/ Limitations for Pediatric Enrollees Clarification/ Limitations for Adult Enrollees D1527 Space maintainer - removable - bilateral, mandibular $225 Not a benefit D1551 Re-cement or re-bond bilateral space maintainer - maxillary $30 Not a benefit D1552 Re-cement or re-bond bilateral space maintainer - mandibular $30 Not a benefit D1553 Re-cement or re-bond unilateral space maintainer - per quadrant $30 Not a benefit D1556 Removal of fixed unilateral space maintainer - per quadrant $10 Not a benefit Included in case by dentist/dental office who placed appliance; a separate charge applies for service provided by a dentist other than the original treatingdentist/ dental office D1557 Removal of fixed bilateral space maintainer - maxillary $10 Not a benefit Included in case by dentist/dental office who placed appliance; a separate charge applies for service provided by a dentist other than the original treatingdentist/dental office D1558 Removal of fixed bilateral space maintainer - mandibular $10 Not a benefit Included in case by dentist/dental off...
Preventive. Dental Care We will pay for preventive dental care, which includes procedures which help to prevent oral disease from occurring, including: • Prophylaxis (scaling and polishing the teeth at six (6) month intervals); • Topical fluoride application at six (6) month intervals where the local water supply is not fluoridated; • Sealants on unrestored permanent molar teeth.
Preventive. (09/17) Maintenance shall include the development, release and installation of Updates and Upgrades, and performance monitoring, evaluation, or use of diagnostic applications or tools.
