Basic Restorative Clause Samples

Basic Restorative. Provides, when necessary and customary as determined by the standards of generally accepted dental practice, amalgam, synthetic porcelain and plastic restorations for Treatment of carious lesions.

Basic Restorative. Certain benefits have upper limits. These limitations are indicated by a single digit number located in the centre of the page opposite the with an upper limit. All codes within the asterisk are subject to the limitation as indicated in the Legend. An explanation of the number is in the Legend. LEGEND: Once in months. Two during a Benefit Period separated by the number of months as indicated under Dental Recall Frequency on the Schedule of Benefits.