Common use of Preventive/Diagnostic Clause in Contracts

Preventive/Diagnostic. The Plan Pays: 100% of the usual, customary and reasonable fee for: Oral examinations Prophylaxis- cleaning and scaling of teeth Space maintainers (dependents under age 19) Topical fluoride applications Sealants – molars only (dependents under age 14) Full mouth and bitewing xrays

Appears in 3 contracts

Samples: Negotiated Agreement, Negotiated Agreement, Negotiated Agreement

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Preventive/Diagnostic. The Plan Pays: 100% of the usual, customary and reasonable fee for: Oral examinations Prophylaxis- Prophylaxis-cleaning and scaling of teeth Space maintainers (dependents under age 19) Topical fluoride applications Sealants – - molars only (dependents under age 14) Full mouth and bitewing xraysx-rays

Appears in 1 contract

Samples: dam.assets.ohio.gov

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