Simple Extractions. This plan covers the simple extraction of an erupted tooth that does not require a surgical procedure. Therapeutic Pulpotomies This plan covers therapeutic pulpotomy for primary teeth. Biopsies This plan covers biopsies and examinations of hard or soft oral tissue. Root Canal Therapy This plan covers root canal therapy for all permanent teeth, excluding final restoration.
Simple Extractions. 8. Surgical Extractions
Simple Extractions. (Payment for surgical extraction of teeth is limited to the amount payable for simple extractions.)
Simple Extractions. We cover a simple extraction of an erupted tooth which does not require a surgical procedure.
Simple Extractions. This plan covers the simple extraction of an erupted tooth that does not require a surgical procedure. Therapeutic Pulpotomies This plan covers therapeutic pulpotomy for primary teeth. Biopsies This plan covers biopsies and examinations of hard or soft oral tissue. Root Canal Therapy This plan covers root canal therapy for all permanent teeth, excluding final restoration. Non-surgical Periodontal Services and Periodontal Maintenance This plan covers periodontal maintenance, following documented periodontal surgery, two (2) times per plan year if at least three (3) months have passed since the completion of active periodontal surgery. This plan covers periodontal scaling and root planing once (1) per thirty-six (36) month period, per quadrant.
Simple Extractions. This plan covers the simple extraction of an erupted tooth that does not require a surgical procedure. Therapeutic Pulpotomies This plan covers therapeutic pulpotomy for primary teeth. Biopsies This plan covers biopsies and examinations of hard or soft oral tissue. Root Canal Therapy This plan covers root canal therapy for all permanent teeth, excluding final restoration. Non-surgical Periodontal Services and Periodontal Maintenance This plan covers periodontal maintenance, following documented periodontal surgery, two (2) times per plan year if at least three (3) months have passed since the completion of active periodontal surgery. This plan covers periodontal scaling and root planing once (1) per thirty-six (36) month period, per quadrant. Enhanced benefits for these services may be available for members diagnosed with diabetes and/or coronary artery disease. Please see Total Health Solutions and Summary of Dental Benefits for additional information.
