• Preventive Dental Services
• Exam & X-Rays
• Medical/Dental Coverage Guideline
• Periodontics
• Prophy & Fluoride
• Scaling and Root Planing (deep cleaning)
• Restorative Services
• Composite Fillings
• Amalgam fillings
• Removable and Fixed Prosthodontics
• Laboratory Crowns
Adults 21 & Above
Anterior #6-11
Anterior #22-27
Children (up to age 20)
Anteriors Molars & Premolars
Pre-fabricated Crowns
Adults
Molars & Premolars
Extractions
Complete Dentures
Partial dentures