Denis shall be entitled to update the tariff schedule from ... Guides/2018/DENIS Tariff file 2018.pdf · Benefit entitlement is governed by the relevant scheme option and rules as

*-

Trf

CodeTariffDescription

*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)

8025

HANDLING FEE - DIRECT MATERIALS (26% OF

MATERIAL COST TO A MAXIMUM OF R26.00) R 37.90 R 37.90 R 37.90 R 37.90 - R 37.90 - R 37.90 - 8101 ORAL EXAMINATION R 210.80 R 210.80 R 210.80 R 210.80 - R 210.80 R 109.70 R 210.80 - 8102 COMPREHENSIVE ORAL EXAMINATION R 340.50 R 340.50 R 340.50 R 340.50 - R 340.50 R 177.10 R 340.50 - 8104 LIMITED ORAL EXAMINATION R 102.20 R 102.20 R 102.20 R 102.20 - R 102.20 R 85.40 R 102.20 - 8106 SPECIAL REPORT R 216.40 R 216.40 R 216.40 R 216.40 - R 216.40 - - - 8107 INTRAORAL RADIOGRAPH - PERIAPICAL R 85.40 R 85.40 R 85.40 R 85.40 - R 85.40 R 82.30 R 85.40 R 82.208108 INTRAORAL RADIOGRAPHS - COMPLETE SERIES R 660.50 R 660.50 R 660.50 R 660.50 - R 660.50 R 633.00 R 660.50 R 633.008109 INFECTION CONTROL/BARRIER TECHNIQUES R 19.00 R 19.00 R 19.00 R 19.00 - R 19.00 R 19.00 R 19.00 R 19.008110 STERILIZED INSTRUMENTATION R 49.00 R 49.00 R 49.00 R 49.00 - R 49.00 R 48.90 R 49.00 R 48.908112 INTRAORAL RADIOGRAPH - BITEWING R 85.40 R 85.40 R 85.40 R 85.40 - R 85.40 R 82.30 R 85.40 - 8113 INTRAORAL RADIOGRAPH - OCCLUSAL R 147.00 R 147.00 R 147.00 R 147.00 - R 147.00 R 141.40 R 147.00 - 8114 EXTRAORAL RADIOGRAPH - HAND-WRIST R 341.10 R 341.10 R 341.10 R 341.10 - R 341.10 - R 341.10 - 8115 EXTRAORAL RADIOGRAPH - PANORAMIC R 341.10 R 341.10 R 341.10 R 341.10 - R 341.10 - R 341.10 R 255.808116 EXTRAORAL RADIOGRAPH - CEPHALOMETRIC R 341.10 R 341.10 R 341.10 R 341.10 - R 341.10 - R 341.10 - 8117 DIAGNOSTIC MODELS R 91.70 R 91.70 R 91.70 R 91.70 - R 91.70 R 88.20 R 91.70 R 88.308118 EXTRAORAL RADIOGRAPH - SKULL/FACIAL BONE R 341.10 R 341.10 R 341.10 R 341.10 - R 341.10 - R 341.10 - 8119 DIAGNOSTIC MODELS MOUNTED R 230.60 R 230.60 R 230.60 R 230.60 - R 230.60 - R 230.60 - 8120 TREATMENT PLAN COMPLETED -

8121

ORAL AND/OR FACIAL IMAGE

(DIGITAL/CONVENTIONAL) R 91.70 R 91.70 R 91.70 R 91.70 - R 91.70 R 88.20 R 91.70 R 88.308123 CARIES SUSCEPTIBILITY TESTS (BY - 8124 PULP TESTS R 25.20 - - - - - - - -

8129

OFFICE/HOSPITAL VISIT – AFTER REGULARLY

SCHEDULED HOURS R 317.60 R 317.60 - R 317.60 - R 317.60 R 263.20 R 317.60 - 8131 EMERGENCY DENTAL TREATMENT R 129.40 R 129.40 R 129.40 R 129.40 - R 263.80 R 109.70 R 129.40 R 109.708132 PULP REMOVAL (PULPECTOMY) R 211.70 R 211.70 - - - R 281.50 - R 211.70 - 8133 RECEMENT INLAY, ONLAY, CROWN OR VENEER R 129.40 R 129.40 - - - R 164.30 - R 129.40 - 8135 REMOVE INLAY, ONLAY OR CROWN R 257.60 R 257.60 - - - R 257.60 - R 257.60 -

Denis shall be entitled to update the tariff schedule from time to time.

The tariffs listed do not consider scheme exclusions and scope of practice and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

If the clinical code requires managed care intervention, all associated lab codes will be included in the authorisation process.

Pre-authorisation is required for the dental code to attract benefitTariff amount not applicable

Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

8136

ACCESS THROUGH A PROSTHETIC CROWN OR

INLAY TO FACILITATE ROOT CANAL TREATMENT R 115.30 R 115.30 - R 115.30 - R 115.30 - R 115.30 - 8137 EMERGENCY CROWN (CHAIR-SIDE) R 443.90 R 443.90 - - - R 443.90 - R 443.90 - 8138 REMOVE RETENTION POST (PREFABRICATED OR R 169.00 R 169.00 - - - R 169.00 - R 169.00 - 8139 APPOINTMENT NOT KEPT /30MIN - 8140 HOUSE/EXTENDED CARE FACILITY/HOSPITAL * R 210.10 R 210.10 - R 210.10 - R 210.10 R 174.10 R 210.10 -

8141

INHALATION SEDATION - FIRST 15 MINUTES OR

PART THEREOF R 94.80 R 94.80 - R 94.80 - R 94.80 - R 94.80 - 8143 INHALATION SEDATION - EACH ADDNL 15 R 49.00 R 49.00 - R 49.00 - R 49.00 - R 49.00 - 8144 INTRAVENOUS SEDATION * R 56.90 R 56.90 - R 56.90 - R 56.90 - R 56.90 - 8145 LOCAL ANAESTHETIC - PER VISIT R 82.30 R 82.30 R 82.30 R 82.30 - R 82.30 R 18.60 R 82.30 R 18.608146 RESIN BONDING FOR RESTORATIONS -

8147

MONITORING EQUIPMENT FOR INTRAVENOUS

SEDATION R 202.30 R 202.30 - R 202.30 - R 202.30 - R 202.30 - 8151 ORAL HYGIENE INSTRUCTION R 129.40 - - R 259.10 - R 259.10 R 86.10 - R 86.10

8153

ORAL HYGIENE INSTRUCTION - EACH

ADDITIONAL VISIT R 94.80 - - R 124.70 - R 124.70 R 63.00 - R 63.108154 ORAL EXAMINATION - ORAL HYGIENIST - 8155 POLISHING - COMPLETE DENTITION R 129.40 R 129.40 - R 178.40 - R 129.40 R 105.30 R 129.40 R 105.30

8157

RE-BURNISHING AND POLISHING OF

RESTORATIONS - COMPLETE DENTITION R 129.40 - - - - - - - 8158 ENAMEL MICROABRASION R 118.40 - - - - - - - - 8159 PROPHYLAXIS - COMPLETE DENTITION R 254.40 R 254.40 - R 358.70 - R 254.40 R 191.80 R 254.40 R 191.808160 REMOVAL OF GROSS CALCULUS - 8161 TOPICAL APPLICATION OF FLUORIDE - CHILD R 129.40 R 129.40 - R 129.40 - R 129.40 R 105.30 R 129.40 R 105.208162 TOPICAL APPLICATION OF FLUORIDE - ADULT R 129.40 - - R 129.40 - R 129.40 R 105.30 - R 105.308163 DENTAL SEALANT R 85.40 R 85.40 - R 85.40 - R 85.40 R 78.00 R 85.40 R 78.008164 LIMITED ORAL EXAMINATION - ORAL HYGIENIST - 8165 SEDATIVE FILLING R 129.40 R 129.40 - R 129.40 - R 129.40 R 109.70 R 129.40 R 109.708166 APPLICATION OF DESENSITISING RESIN, PER R 85.40 R 85.40 - R 85.40 - R 85.40 R 72.40 R 85.40 R 72.40

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

8167

APPLICATION OF DESENSITISING MEDICAMENT,

PER VISIT R 99.60 R 99.60 - R 99.60 - R 99.60 R 84.40 R 99.60 R 84.408169 OCCLUSAL GUARD R 497.60 R 497.60 R 497.60 R 497.60 - R 497.60 - R 497.60 - 8171 MOUTH PROTECTOR R 150.60 R 150.60 R 150.60 R 150.60 - R 150.60 - R 150.60 R 112.908172 COST OF ORTHOTIC APPLIANCE * * * * * - * - - 8173 SPACE MAINTAINER - FIXED, PER ABUTMENT R 240.20 R 240.20 R 240.20 R 240.20 - R 240.20 - R 240.20 - 8175 SPACE MAINTAINER - REMOVABLE R 309.70 R 309.70 R 309.70 R 309.70 - R 309.70 - R 309.70 - 8176 PERIODONTAL SCREENING R 177.60 R 167.50 - R 177.60 - R 177.60 - R 177.60 R 133.10

8177

ORAL HYGIENE INSTRUCTION (PERIODONTALLY

COMPROMISED PATIENT) R 196.00 - - - - - - - -

8178

ORAL HYGIENE INSTRUCTION - EACH

ADDITIONAL VISIT (PERIODONTALLY R 105.90 - - - - - - - -

8179

POLISHING - COMPLETE DENTITION

(PERIODONTALLY COMPROMISED PATIENT) R 148.60 R 148.60 - R 148.60 - R 148.60 - R 148.60 R 111.40

8180

PROPHYLAXIS - COMPLETE DENTITION

(PERIODONTALLY COMPROMISED PATIENT) * R 276.40 R 276.40 - R 276.40 - - - R 276.40 R 153.608183 THERAPEUTIC DRUG INJECTION R 56.90 - - - - - - - - 8189 RE-EXAMINATION - EXISTING CONDITION R 102.20 - - - - - R 85.40 - R 85.508190 CONSULTATION - SECOND OPINION OR ADVICE R 210.80 R 210.80 R 210.80 R 210.80 - R 210.80 - R 210.80 - 8192 SUTURE - MINOR R 638.20 R 638.20 - R 638.20 - R 638.20 - R 638.20 -

8201

EXTRACTION - TOOTH OR EXPOSED TOOTH

ROOTS (FIRST PER QUADRANT) R 129.40 R 194.20 R 129.40 R 129.40 - R 129.40 R 122.80 R 129.40 -

8202

EXTRACTION - EACH ADDITIONAL TOOTH OR

EXPOSED TOOTH ROOTS R 52.10 R 78.20 R 52.10 R 52.10 - R 52.10 R 47.40 R 52.10 -

8213

SURGICAL REMOVAL OF RESIDUAL ROOTS, FIRST

TOOTH PER QUADRANT R 559.40 R 559.40 - R 559.40 - R 559.40 - R 559.40 -

8214

SURGICAL REMOVAL OF RESIDUAL ROOTS,

SECOND AND SUBSEQUENT TEETH''S ROOTS R 431.30 R 431.30 - R 431.30 - R 431.30 - R 431.30 - 8220 COST OF SUTURE MATERIAL R 202.90 R 202.90 - R 202.90 - R 202.90 R 202.90 R 202.90 - 8228 ART RESTORATIONS -

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

8231 COMPLETE DENTURES - MAXILLARY AND R 2 088.60 - - R 2 088.60 - R 4 360.50 - R 2 088.60 - 8232 COMPLETE DENTURE - MAXILLARY OR R 1 287.60 - - R 1 287.60 - R 3 050.80 - R 1 287.60 - 8233 PARTIAL DENTURE - RESIN BASE - ONE TOOTH R 598.70 - - R 598.70 - R 598.70 - R 598.70 - 8234 PARTIAL DENTURE - RESIN BASE - TWO TEETH R 598.70 - - R 598.70 - R 598.70 - R 598.70 - 8235 PARTIAL DENTURE - RESIN BASE - THREE TEETH R 895.80 - - R 895.80 - R 895.80 - R 895.80 - 8236 PARTIAL DENTURE - RESIN BASE - FOUR TEETH R 895.80 - - R 895.80 - R 895.80 - R 895.80 - 8237 PARTIAL DENTURE - RESIN BASE - FIVE TEETH R 895.80 - - R 895.80 - R 895.80 - R 895.80 - 8238 PARTIAL DENTURE - RESIN BASE - SIX TEETH R 1 188.20 - - R 1 188.20 - R 1 188.20 - R 1 188.20 - 8239 PARTIAL DENTURE - RESIN BASE - SEVEN TEETH R 1 188.20 - - R 1 188.20 - R 1 188.20 - R 1 188.20 - 8240 PARTIAL DENTURE - RESIN BASE - EIGHT TEETH R 1 188.20 - - R 1 188.20 - R 1 188.20 - R 1 188.20 -

8241

PARTIAL DENTURE - RESIN BASE - NINE OR MORE

TEETH R 1 188.20 - - R 1 188.20 - R 1 188.20 - R 1 188.20 - 8244 IMMEDIATE DENTURE - MAXILLARY R 1 287.60 - - R 1 287.60 - R 1 931.40 - R 1 287.60 - 8245 IMMEDIATE DENTURE - MANDIBULAR R 1 287.60 - - R 1 287.60 - R 1 931.40 - R 1 287.60 - 8251 CLASP OR REST - CAST GOLD R 118.40 - - - - - - - - 8253 CLASP OR REST - WROUGHT GOLD R 118.40 - - - - - - - - 8255 CLASP OR REST - STAINLESS STEEL R 124.70 - - - - - - - - 8257 BAR - LINGUAL OR PALATAL R 147.00 - - - - - - - -

8259

REBASE COMPLETE OR PARTIAL DENTURE

(LABORATORY) R 488.10 - - R 488.10 - R 704.60 - R 488.10 - 8261 REMODEL COMPLETE OR PARTIAL DENTURE R 783.70 - - R 783.70 - R 783.70 - R 783.70 - 8263 RELINE COMPLETE OR PARTIAL DENTURE (CHAIR- R 309.70 - - R 309.70 - R 387.00 - R 309.70 -

8265

TISSUES CONDITIONING PER ARCH (INCLUDING

SOFT SELF-CURE RELINE) R 202.30 R 202.30 - R 202.30 - R 259.10 - R 202.30 R 151.70

8267

RELINE COMPLETE OR PARTIAL DENTURE

(LABORATORY) R 712.60 - - R 712.60 - R 712.60 - R 712.60 - 8269 REPAIR DENTURE OR OTHER INTRA-ORAL R 164.30 - - - - R 176.90 - - - 8270 ADD CLASP TO EXISTING PARTIAL DENTURE R 118.40 - - - - - - - - 8271 ADD TOOTH TO EXISTING PARTIAL DENTURE R 118.40 - - - - - - - -

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

8273

IMPRESSION TO REPAIR OR MODIFY A DENTURE

OR OTHER INTRA-ORAL APPLIANCE R 94.80 - - R 94.80 - R 94.80 - R 94.80 - 8275 ADJUST COMPLETE OR PARTIAL DENTURE R 94.80 - - R 94.80 - R 94.80 - R 94.80 - 8277 INLAY IN DENTURE R 393.40 - - - - R 775.70 - - - 8281 PARTIAL DENTURE - CAST METAL FRAMEWORK R 1 396.70 - - R 1 396.70 - R 1 396.70 - R 1 396.70 - 8301 PULP CAP - DIRECT R 172.10 - - - - - - - - 8303 PULP CAP - INDIRECT R 172.10 - - - - - R 155.70 - - 8304 RUBBER DAM PER ARCH R 101.10 R 101.10 - R 101.10 - R 101.10 - R 101.10 - 8306 COST OF MTA - 8307 PULP AMPUTATION (PULPOTOMY) R 169.00 R 169.00 - R 169.00 - R 169.00 - R 169.00 - 8310 SUPPLY OF BLEACHING MATERIALS - 8325 INTERNAL BLEACHING - PER TOOTH R 306.50 - - - - R 459.80 - - - 8327 INTERNAL BLEACHING - EACH ADDITIONAL VISIT R 147.00 - - - - R 220.50 - - -

8328

ROOT CANAL OBTURATION - ANTERIORS AND

PREMOLARS - EACH ADDITIONAL CANAL R 240.20 R 240.20 - - - R 319.50 - R 240.20 -

8329

ROOT CANAL THERAPY - ANTERIORS AND

PREMOLARS - EACH ADDITIONAL CANAL R 300.20 R 300.20 - - - R 399.30 - R 300.20 - 8330 REMOVAL OF ROOT CANAL OBSTRUCTION R 169.00 R 169.00 - R 169.00 - R 169.00 - R 169.00 -

8332

ROOT CANAL PREPARATORY VISIT - SINGLE

CANAL TOOTH R 129.40 R 129.40 - - - R 172.10 - R 129.40 -

8333

ROOT CANAL PREPARATORY VISIT - MULTI CANAL

TOOTH R 181.60 R 181.60 - - - R 181.60 - R 181.60 -

8334

RE-TREATMENT OF PREVIOUSLY COMPLETED

ROOT CANAL THERAPY, PER CANAL R 191.20 R 191.20 - R 191.20 - R 230.60 - R 191.20 -

8335

ROOT CANAL OBTURATION - ANTERIORS AND

PREMOLARS - FIRST CANAL R 587.70 R 587.70 - - - - - R 587.70 -

8336

ROOT CANAL OBTURATION - POSTERIORS - FIRST

CANAL R 808.80 R 808.80 - - - - - R 808.80 -

8337

ROOT CANAL OBTURATION - POSTERIORS - EACH

ADDITIONAL CANAL R 240.20 R 240.20 - - - - - R 240.20 -

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

8338

ROOT CANAL THERAPY - ANTERIORS AND

PREMOLARS - FIRST CANAL R 898.90 R 898.90 - - - - - R 898.90 - 8339 ROOT CANAL THERAPY - POSTERIORS - FIRST R 1 235.40 R 1 235.40 - - - - - R 1 235.40 -

8340

ROOT CANAL THERAPY - POSTERIORS - EACH

ADDITIONAL CANAL R 300.20 R 300.20 - - - - - R 300.20 - 8341 AMALGAM - ONE SURFACE R 257.60 R 257.60 - R 257.60 - R 257.60 R 224.70 R 257.60 - 8342 AMALGAM - TWO SURFACES R 317.60 R 317.60 - R 317.60 - R 317.60 R 277.10 R 317.60 - 8343 AMALGAM - THREE SURFACES R 387.00 R 387.00 - R 387.00 - R 387.00 R 337.70 R 387.00 - 8344 AMALGAM - FOUR OR MORE SURFACES R 431.30 R 431.30 - R 431.30 - R 431.30 R 376.20 R 431.30 -

8345

PREFABRICATED POST RETENTION, PER POST (IN

ADDITION TO RESTORATION) R 254.40 R 254.40 - R 254.40 - R 254.40 - R 254.40 -

8347

PIN RETENTION - FIRST PIN (IN ADDITION TO

RESTORATION) R 127.90 R 127.90 - R 127.90 - R 127.90 - R 127.90 -

8348

PIN RETENTION - EACH ADDITIONAL PIN (IN

ADDITION TO RESTORATION) R 118.40 R 118.40 - R 118.40 - R 118.40 - R 118.40 -

8349

CARVE RESTORATION TO ACCOMMODATE

EXISTING REMOVABLE PROSTHESIS R 52.10 - - - - - - - - 8350 RESIN CROWN - ANTERIOR PRIMARY TOOTH R 561.80 R 561.80 - R 561.80 - R 561.80 R 490.00 R 561.80 - 8351 RESIN - ONE SURFACE, ANTERIOR R 282.70 R 282.70 - R 282.70 - R 282.70 R 271.90 R 282.70 - 8352 RESIN - TWO SURFACES, ANTERIOR R 355.50 R 355.50 - R 355.50 - R 355.50 R 341.80 R 355.50 - 8353 RESIN - THREE SURFACES, ANTERIOR R 425.00 R 425.00 - R 425.00 - R 425.00 R 408.40 R 425.00 - 8354 RESIN - FOUR OR MORE SURFACES, ANTERIOR R 474.00 R 474.00 - R 474.00 - R 474.00 R 455.90 R 474.00 - 8355 VENEER - RESIN (CHAIR-SIDE) R 448.80 R 448.80 - R 448.80 - R 448.80 - R 448.80 - 8357 PREFABRICATED METAL CROWN R 263.80 R 263.80 - R 263.80 - R 263.80 - R 263.80 - 8361 INLAY - METAL - ONE SURFACE R 393.30 - - - - R 775.80 - - - 8362 INLAY/ONLAY - METAL - TWO SURFACES R 575.10 - - - - R 1 124.80 - - - 8363 INLAY/ONLAY - METAL - THREE SURFACES R 959.00 - - - - R 1 744.20 - - - 8364 INLAY/ONLAY - METAL - FOUR OR MORE R 1 159.60 - - - - R 1 744.20 - - -

8366

PIN RETENTION AS PART OF CAST RESTORATION

(ANY NUMBER OF PINS) R 191.20 - - - - R 259.10 - - -

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

8367 RESIN - ONE SURFACE, POSTERIOR R 306.50 R 306.50 - R 306.50 - R 306.50 R 294.80 R 306.50 - 8368 RESIN - TWO SURFACES, POSTERIOR R 379.10 R 379.10 - R 379.10 - R 379.10 R 364.60 R 379.10 - 8369 RESIN - THREE SURFACES, POSTERIOR R 458.20 R 458.20 - R 458.20 - R 458.20 R 440.50 R 458.20 - 8370 RESIN - FOUR OR MORE SURFACES, POSTERIOR R 492.80 R 492.80 - R 492.80 - R 492.80 R 473.80 R 492.80 - 8371 INLAY - PORCELAIN - ONE SURFACE R 474.00 - - - - R 936.90 - - - 8372 INLAY/ONLAY - PORCELAIN - TWO SURFACES R 699.80 - - - - R 1 349.30 - - - 8373 INLAY/ONLAY - PORCELAIN - THREE SURFACES R 1 153.30 - - - - R 2 096.60 - - -

8374

INLAY/ONLAY - PORCELAIN - FOUR OR MORE

SURFACES R 1 396.70 - - - - R 2 096.60 - - - 8375 PREFABRICATED RESIN CROWN R 263.80 R 263.80 - R 263.80 - R 263.80 - R 263.80 - 8376 CORE BUILD-UP WITH PREFABRICATED POSTS R 704.60 - - - - R 704.60 - R 704.60 - 8379 COST OF PREFABRICATED POSTS R 98.20 - - - - R 98.20 - R 98.20 - 8381 INLAY - RESIN - ONE SURFACE R 474.00 - - - - R 936.90 - - - 8382 INLAY/ONLAY - RESIN - TWO SURFACES R 699.80 - - - - R 1 349.30 - - - 8383 INLAY/ONLAY - RESIN - THREE SURFACES R 1 153.30 - - - - R 2 096.60 - - - 8384 INLAY/ONLAY - RESIN - FOUR OR MORE R 1 396.70 - - - - R 2 096.60 - - - 8391 CAST CORE WITH SINGLE POST * R 297.10 - - - - R 297.10 - R 297.10 - 8392 CAST POST (EACH ADDITIONAL) R 176.90 - - - - R 176.90 - R 176.90 - 8397 CAST CORE WITH PINS (ANY NUMBER OF PINS) * R 474.00 - - - - R 616.20 - R 474.00 - 8398 CORE BUILD-UP WITH PINS R 575.10 - - - - R 575.10 - R 575.10 - 8401 CROWN - FULL CAST METAL * R 1 478.80 - - - - R 2 177.00 - R 1 478.80 - 8403 CROWN - 3/4 CAST METAL * R 1 478.80 - - - - R 2 177.00 - R 1 478.80 - 8404 CROWN - 3/4 PORCELAIN/CERAMIC * R 1 396.50 - - - - R 2 096.60 - R 1 396.50 - 8405 CROWN - RESIN LABORATORY * R 1 396.50 - - - - R 2 096.60 - R 1 396.50 - 8407 CROWN - RESIN WITH METAL * R 1 478.80 - - - - R 2 177.00 - R 1 478.80 - 8409 CROWN - PORCELAIN/CERAMIC * R 1 478.80 - - - - R 2 177.00 - R 1 478.80 - 8410 PROVISIONAL CROWN R 287.40 - - R 287.40 - R 431.30 - - - 8411 CROWN - PORCELAIN VENEERED TO METAL * R 1 478.80 - - - - R 2 177.00 - R 1 478.80 - 8413 REPAIR CROWN (PERMANENT OR PROVISIONAL) R 287.40 R 287.40 - - - R 287.40 - R 287.40 -

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

8414

ADDITIONAL FEE FOR PROVISION OF CROWN

WITHIN AN EXISTING CLASP OR REST R 85.40 - - - - R 85.40 - R 85.40 - 8415 PONTIC - CERAMIC * R 1 207.10 - - - - R 1 207.00 - R 1 207.10 - 8416 PONTIC - CAST METAL * R 959.00 - - - - R 959.00 - R 959.00 - 8417 PONTIC - RESIN WITH METAL * R 1 207.10 - - - - R 1 207.00 - R 1 207.10 - 8418 PONTIC - PORCELAIN VENEERED TO METAL * R 1 207.10 - - - - R 1 207.00 - R 1 207.10 - 8419 PROVISIONAL PONTIC R 287.40 - - - - R 431.30 - - - 8432 INLAY/ONLAY RETAINER - METAL - TWO * R 575.10 - - - - R 1 124.80 - R 575.10 - 8433 INLAY/ONLAY RETAINER - METAL - THREE * R 959.00 - - - - R 1 744.20 - R 959.00 -

8434

INLAY/ONLAY RETAINER - METAL - FOUR OR

MORE SURFACES * R 1 159.60 - - - - R 1 744.20 - R 1 159.60 -

8436

INLAY/ONLAY RETAINER - PORCELAIN - TWO

SURFACES * R 699.80 - - - - R 1 349.30 - R 699.80 -

8437

INLAY/ONLAY RETAINER - PORCELAIN - THREE

SURFACES * R 1 153.30 - - - - R 2 096.60 - R 1 153.30 -

8438

INLAY/ONLAY RETAINER - PORCELAIN - FOUR OR

MORE SURFACES * R 1 396.70 - - - - R 2 096.60 - R 1 396.70 - 8441 CROWN RETAINER - FULL CAST METAL * R 1 478.80 - - - - R 2 177.00 - R 1 478.80 - 8442 CROWN RETAINER - 3/4 CAST METAL * R 1 478.80 - - - - R 2 177.00 - R 1 478.80 - 8443 CROWN RETAINER - CERAMIC * R 1 478.80 - - - - R 2 177.00 - R 1 478.80 - 8444 CROWN RETAINER - 3/4 CERAMIC * R 1 478.80 - - - - R 2 177.00 - R 1 478.80 - 8445 CROWN RETAINER - PORCELAIN VENEERED TO * R 1 478.80 - - - - R 2 177.00 - R 1 478.80 - 8446 CROWN RETAINER - RESIN WITH METAL * R 1 478.80 - - - - R 2 177.00 - R 1 478.80 - 8447 PROVISIONAL CROWN RETAINER R 287.40 - - - - R 431.30 - - - 8499 GENERAL ANAESTHETIC - 8501 CONSULTATION - PROSTHODONTIS - 8503 OCCLUSION ANALYSIS MOUNTED R 287.40 - - - - R 431.30 - - - 8505 PANTOGRAPHIC RECORDING R 417.10 - - - - R 625.70 - - - 8506 DETAILED CONSULTATION - PROSTHODONTIST -

*-

Trf


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General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

8507

COMPREHENSIVE CONSULTATION -

PROSTHODONTIST - 8508 ELECTROGNATHOGRAPHIC RECORDING R 446.60 - - - - R 669.90 - - -

8509

ELECTROGNATHOGRAPHIC RECORDING WITH

COMPUTER ANALYSIS R 741.40 - - - - R 1 112.20 - - - 8514 RECEMENT BRIDGE R 129.40 R 129.40 - - - R 164.30 - R 129.40 - 8516 REMOVE BRIDGE R 257.60 R 257.60 - - - R 257.60 - R 257.60 -

8517

REIMPLANTATION OF AVULSED TOOTH (INCLUDE

STABILISATION) R 299.10 R 299.10 - R 299.10 - R 448.80 - R 299.10 - 8518 REPAIR BRIDGE R 287.40 R 287.40 - - - R 287.40 - R 287.40 -

8533

IMPLANT SUPPORTED REMOVABLE COMPLETE

OVERDENTURE R 2 321.30 - - - - R 3 482.10 - R 2 321.30 -

8534

IMPLANT SUPPORTED REMOVABLE PARTIAL

OVERDENTURE R 1 857.00 - - - - R 2 785.60 - R 1 857.00 -

8536

CROWN-IMPLANT/ABUTMENT SUPPORTED

CROWN - PORCELAIN/CERAMIC * R 1 919.50 - - - - R 2 538.90 - R 1 919.50 -

8537


CROWN - PORCELAIN WITH METAL * R 1 919.50 - - - - R 2 538.90 - R 1 919.50 -

8538


CROWN - CAST METAL * R 1 919.50 - - - - R 2 538.90 - R 1 919.50 - 8546 IMPLANT SUPPORTED CROWN RETAINER - * R 1 919.50 - - - - R 2 538.90 - R 1 919.50 -

8547

IMPLANT SUPPORTED CROWN RETAINER -

PORCELAIN VENEERED TO METAL * R 1 919.50 - - - - R 2 538.90 - R 1 919.50 -

8548

CROWN RETAINER - IMPLANT/ABUTMENT

SUPPORTED - CAST METAL * R 1 919.50 - - - - R 2 538.90 - R 1 919.50 - 8551 OCCLUSAL ADJUSTMENT - MAJOR R 819.40 - R 1 229.10 - - R 1 229.10 - - - 8552 VENEER - PORCELAIN (LABORATORY) R 993.10 - - - - R 1 489.80 - - - 8553 OCCLUSAL ADJUSTMENT - MINOR R 285.80 R 391.70 R 391.70 R 391.70 - R 391.70 - - - 8554 VENEER - RESIN (LABORATORY) R 993.10 - - - - R 1 489.80 - - - 8560 COST OF CERAMIC BLOCK * R 580.80 - - - - R 580.80 - - -

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required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

8561 GOLD FOIL CLASS I OR IV R 749.90 - - - - R 1 124.80 - - - 8563 GOLD FOIL CLASS V R 877.40 - - - - R 1 316.10 - - - 8565 GOLD FOIL CLASS III R 1 103.70 - - - - R 1 655.60 - - -

8570

FABRICATION OF COMPUTER GENERATED

CERAMIC RESTORATION * R 1 409.20 - - - - R 1 409.20 - - - 8578 PREFABRICATED ABUTMENT R 240.20 - - - - R 360.20 - R 240.20 - 8579 CUSTOM ABUTMENT R 1 095.40 - - - - R 1 643.00 - R 1 095.40 - 8580 CUSTOMISED PREFABRICATED ABUTMENT * * - - - - * - - - 8581 CAST CORE WITH SINGLE POST - 8582 CAST CORE WITH DOUBLE POST - 8583 CAST CORE WITH TRIPLE POST - 8584 CONNECTOR BAR - IMPLANT SUPPORTED - 8585 CONNECTOR BAR - 8586 STRESS BREAKER - 8587 COPING METAL R 192.80 - - - - R 360.20 - R 192.80 - 8590 IMPLANT MAINTENANCE PROCEDURES - PER R 106.30 - - - - R 159.60 - - R 80.708592 CROWN - IMPLANT/ABUTMENT SUPPORTED * R 1 919.20 - - - - R 2 538.90 - * - 8594 REPAIR OF IMPLANT SUPPORTED PROSTHESIS R 118.00 - - - - R 176.90 - R 118.00 - 8595 REPAIR OF IMPLANT ABUTMENT R 118.00 - - - - R 176.90 - R 118.00 - 8597 LOCKS AND MILLED RESTS R 118.00 - - - - R 176.90 - - - 8599 PRECISION ATTACHMENT (REMOVABLE R 287.40 - - - - R 431.30 - - - 8600 COST OF IMPLANT COMPONENTS * * * - * * * - - - 8611 PONTIC - SANITARY - 8613 PONTIC - POSTERIOR - 8615 PONTIC - ANTERIOR/PREMOLAR - 8617 RETAINER CAST METAL (MARYLAND TYPE * R 575.10 - - - - R 1 124.80 - R 575.10 -

8631

ROOT CANAL THERAPY - FIRST CANAL SPECIALIST

PROSTHODONTIST -

8633

ROOT CANAL THERAPY - EACH ADDITIONAL

CANAL SPECIALIST PROSTHODONTIST -

*-

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General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

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(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

8635

APEXIFICATION/APEXOGENESIS/RECALCIFICATIO

N – PER VISIT R 172.10 R 172.10 - R 172.10 - R 338.30 - R 172.10 - 8640 REMOVAL OF FRACTURED ROOT CANAL R 448.90 - - - - R 448.80 - - -

8643

COMPLETE DENTURES - MAXILLARY AND

MANDIBULAR. ONLY FOR PROSTHODONTISTS -

8645

COMPLETE DENTURES - MAXILLARY OR

MANDIBULAR. ONLY FOR PROSTHODONTISTS -

8649

IMMEDIATE DENTURE - MAXILLARY. ONLY FOR

PROSTHODONTIST -

8651

IMMEDIATE DENTURE - MANDIBULAR. ONLY FOR

PROSTHODONTIST - 8652 OVERDENTURE - COMPLETE R 2 321.30 - - - - R 3 482.10 - R 2 321.30 - 8653 OVERDENTURE - PARTIAL R 1 857.00 - - - - R 2 785.60 - R 1 857.00 -

8654

IMPLANT SUPPORTED FIXED-DETACHABLE

COMPLETE OVERDENTURE R 2 611.00 - - - - R 3 916.50 - R 2 611.00 -

8655

IMPLANT SUPPORTED FIXED-DETACHABLE

PARTIAL OVERDENTURE R 2 088.70 - - - - R 2 683.80 - R 2 088.70 - 8657 REPLACEMENT OF PRECISION ATTACHMENT R 164.30 - - - - R 176.90 - - - 8658 INTERIM COMPLETE DENTURE R 1 287.50 - - - - R 1 931.40 - R 1 287.50 - 8659 INTERIM PARTIAL DENTURE R 1 030.00 - - - - R 1 545.10 - R 1 030.00 -

8660

ADDITIONAL FEE TO IMPLANT SUPPORTED FIXED-

DETACHABLE DENTURE - PER IMPLANT R 360.20 - - - - R 360.20 - R 360.20 -

8661

DIAGNOSTIC DENTURES (INCLUDING TISSUE

CONDITIONING) -

8662

ADJUST COMPLETE OR PARTIAL DENTURES

(REMOUNTING) R 335.10 - - - - R 502.50 - - - 8663 METAL BASE TO COMPLETE DENTURE R 699.40 - - - - R 1 049.10 - - - 8664 REMOUNT CROWN OR BRIDGE FOR R 335.10 - - - - R 525.00 - - - 8667 SOFT BASE TO DENTURE (HEAT CURED) R 699.40 - - - - R 1 049.10 - - -

*-

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General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

8671

PARTIAL DENTURE - CAST METAL FRAMEWORK

WITH RESIN DENTURE BASE -

8672

ALTERED CAST TECHNIQUE (IN ADDITION TO

PARTIAL DENTURE) R 89.70 - - R 89.70 - R 134.40 - R 89.70 - 8674 ADDITIVE PARTIAL DENTURE R 1 053.30 - - - - R 1 579.90 - - - 8701 CONSULTATION - PERIODONTIST - 8703 CONSULTATION - PERIODONTIST (DETAILED) - 8705 RE-EXAMINATION - PERIODONTIST - 8707 PERIODONTAL SCREENING - PERIODONTIST -

8723

PROVISIONAL SPLINTING - EXTRACORONAL

(WIRE) - PER SEXTANT R 240.20 R 240.20 - R 360.20 - R 360.20 - R 240.20 -

8725

PROVISIONAL SPLINTING - EXTRACORONAL

(WIRE PLUS RESIN) - PER SEXTANT R 348.60 R 348.60 - R 523.00 - R 523.00 - R 348.60 -

8727

PROVISIONAL SPLINTING - INTRACORONAL - PER

TOOTH R 109.40 R 109.40 - R 164.30 - R 164.30 - R 109.40 - 8731 INCISION & DRAINAGE OF ABSCESS - INTRA-ORAL R 206.50 R 206.50 - R 309.70 - * - R 206.50 -

8737

ROOT PLANING - FOUR OR MORE TEETH PER

QUADRANT * R 518.20 - - R 703.00 - R 518.30 - R 518.20 R 335.70

8739

ROOT PLANING - ONE TO THREE TEETH PER

QUADRANT * R 412.40 - - R 560.90 - R 412.30 - R 412.40 R 309.30

8741

GINGIVECTOMY/GINGIVOPLASTY - FOUR OR

MORE TEETH PER QUADRANT R 676.20 - - R 927.50 - - - - -

8743

GINGIVECTOMY OR GINGIVOPLASTY - ONE TO

THREE TEETH PER QUADRANT R 540.30 - - R 736.20 - - - - -

8749

FLAP PROCEDURE, ROOT PLANING AND ONE TO

THREE SURGICAL SERVICES - PER QUADRANT R 1 403.90 - - R 2 106.00 - - - - -

8751

FLAP PROCEDURE, ROOT PLANING AND ONE TO

THREE SURGICAL SERVICES - PER SEXTANT R 1 162.80 - - R 1 744.20 - - - - -

8753

FLAP PROCEDURE, ROOT PLANING AND FOUR OR

MORE SURGICAL SERVICES - PER QUADRANT R 1 740.10 - - R 2 610.10 - - - - -

*-

Trf


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General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

8755

FLAP PROCEDURE, ROOT PLANING AND FOUR OR

MORE SURGICAL SERVICES - PER SEXTANT R 1 410.20 - - R 2 115.50 - - - - -

8756

CLINICAL CROWN LENGTHENING (ISOLATED

PROCEDURE) * R 855.10 - - R 1 282.80 - * - R 855.10 - 8759 PEDICLE FLAPPED GRAFT (ISOLATED PROCEDURE) R 642.50 - - R 963.70 - - - - -

8761

MASTICATORY MUCOSAL AUTOGRAFT - ONE TO

FOUR TEETH (ISOLATED PROCEDURE) R 698.30 R 1 047.50 - R 1 047.50 - - - - -

8762

MASTICATORY MUCOSAL AUTOGRAFT - FOUR OR

MORE TEETH (ISOLATED PROCEDURE) R 1 049.10 R 1 573.60 - R 1 573.60 - - - - - 8763 WEDGE RESECTION (ISOLATED PROCEDURE) * R 410.80 R 410.80 - R 616.20 - * - R 410.80 -

8765

HEMISECTION OF A TOOTH, RESECTION OF A

ROOT OR TUNNEL PREPARATION (ISOLATED R 564.50 - - R 846.80 - R 846.80 - - -

8766

BONE REGENERATION/REPAIR PROCEDURE - AS

PART OF A FLAP OPERATION R 336.00 - - R 504.10 - - - - -

8767

BONE REGENERATION/REPAIR PROCEDURE - AT

A SINGLE SITE R 871.10 R 1 306.60 - R 1 306.60 - - - - - 8768 UNLISTED PERIODONTAL PROCEDURE R 410.80 - - R 616.20 - - - - -

8769

MEMBRANE REMOVAL (USED FOR GUIDED

TISSUE REGENERATION) R 410.80 R 616.20 - R 616.20 - - - - - 8770 COST OF BONE REGENERATIVE/REPAIR -

8772

SUBMUCOSAL CONNECTIVE TISSUE AUTOGRAFT

(ISOLATED PROCEDURE) R 705.70 R 1 058.50 - R 1 058.50 - - - - - 8773 COST OF INTRAPOCKET CHEMOTHERAPEUTIC - 8781 CONSULTATION - ORAL MEDICINE (SIMPLE) - 8782 CONSULTATION - ORAL MEDICINE (COMPLEX) - 8783 CONSULTATION - ORAL MEDICINE (SUBSEQUENT) - 8787 UNLISTED ORAL MEDICINE PROCEDURE R 147.40 - - R 221.10 - - - - - 8801 CONSULTATION - ORTHODONTIST -

8803

CONSULTATION - ORTHODONTIS (SUBSEQUENT,

RETENTION AND POST TREATMENT) -

*-

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General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

8811 TRACING AND ANALYSIS OF EXTRA-ORAL FILM R 39.60 R 39.60 R 39.60 R 39.60 - R 39.60 - R 39.60 -

8837

DIAGNOSIS AND TREATMENT PLANNING -

ORTHODONTIST - 8839 DIAGNOSTIC SETUP R 176.00 R 176.00 R 263.80 - - - - R 176.00 -

8840

TREATMENT PLANNING FOR ORTHOGNATHIC

SURGERY - ALL R 606.60 R 910.00 R 910.00 - - - - - - 8841 ORTHO TX - FIXED LINGUAL APPLIANCE - ONE * * - * - - - - * -

8842

ORTHO TX - FIXED LINGUAL APPLIANCE - ONE

ARCH, MODEATE * * - * - - - - * -

8843

ORTHO TX - FIXED LINGUAL APPLIANCE - ONE

ARCH, SEVERE * * - * - - - - * - 8846 REPAIR ORTHODONTIC APPLIANCE - REMOVABLE R 118.90 - R 178.40 - - - - R 118.90 - 8847 REPLACE ORTHODONTIC APPLIANCE - R 410.80 - R 616.20 - - - - R 410.80 - 8848 REPAIR ORTHODONTIC APPLIANCE - FIXED R 176.00 - R 263.80 - - - - R 176.00 - 8849 RETAINER (ORTHODONTIC) R 410.80 - R 616.20 - - - - R 410.80 - 8850 TREATMENT OF MPDS - FIRST VISIT R 198.00 R 198.00 R 297.10 R 198.00 - R 297.10 - R 198.00 - 8851 TREATMENT OF MPDS - SUBSEQUENT VISIT R 104.30 R 104.30 R 156.40 R 104.30 - R 156.40 - R 104.30 - 8852 OCCLUSAL ORTHOTIC APPLIANCE R 497.60 R 655.60 R 655.60 R 655.60 - R 655.60 - R 497.60 -

8855

CONSULTATION - CLEFT PALATE THERAPY

(HOUSE OR HOSPITAL) R 240.20 - R 360.20 - - R 360.20 - - - 8856 CONSULTATION - CLEFT PALATE (SUBSEQUENT) R 118.00 - R 176.90 - - R 176.90 - - - 8857 CONSULTATION - CLEFT PALATE (MAXIMUM) R 820.50 - R 1 230.70 - - R 1 230.70 - - - 8858 ORTHO TX - FUNCTIONAL APPLIANCE * * - * - - - - * - 8861 ORTHO TX - PARTIAL FIXED APPLIANCE - MINOR * * - * - - - - * - 8862 ORTHO TX - REMOVABLE APPLIANCE * * - * - - - - * -

8863

ORTHO TX - EACH ADDITIONAL REMOVABLE

APPLIANCE * * - * - - - - * - 8865 ORTHO TX - PARTIAL FIXED APPLIANCE - ONE * * - * - - - - * -

8866

ORTHO TX - PARTIAL FIXED APPLIANCE - BOTH

ARCHES * * - * - - - - * -

*-

Trf


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General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

8867 ORTHO TX - FIXED APPLIANCE - ONE ARCH * * - * - - - - * - 8868 ORTHO TX - FIXED APPLIANCE - ONE ARCH, * * - * - - - - * - 8869 ORTHO TX - FIXED APPLIANCE - ONE ARCH, * * - * - - - - * -

8873

ORTHO TX - FIXED APPLIANCE - BOTH ARCHES,

CLASS 1 MILD * * - * - - - - * -

8874

ORTHO TX - FIXED LINGUAL APPLIANCE - BOTH

ARCHES, CLASS 1 MILD * * - * - - - - * -

8875


CLASS 1 MODERATE * * - * - - - - * -

8876


ARCHES, CLASS 1 MODERATE * * - * - - - - * -

8877


CLASS 1 SEVERE * * - * - - - - * -

8878


ARCHES, CLASS 1 SEVERE * * - * - - - - * -

8879


CLASS 1 SEVERE W/ COMPLICATIONS * * - * - - - - * -

8880


ARCHES, CLASS 1 SEVERE W/ COMPLICATIONS * * - * - - - - * -

8881


CLASS 2/3 MILD * * - * - - - - * -

8882


ARCHES, CLASS 2/3 MILD * * - * - - - - * -

8883


CLASS 2/3 MODERATE * * - * - - - - * -

8884


ARCHES, CLASS 2/3 MODERATE * * - * - - - - * -

8885


CLASS 2/3 SEVERE * * - * - - - - * -

*-

Trf


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General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

8886


ARCHES, CLASS 2/3 SEVERE * * - * - - - - * -

8887


CLASS 2/3 SEVERE W/ COMPLICATIONS * * - * - - - - * -

8888


ARCHES, CLASS 2/3 SEVERE W/ COMPLICATIONS * * - * - - - - * - 8890 MONTHLY INSTALMENT ORTHO TX * * - * - - - - * - 8891 ORTHODONTIC TRANSFER * * - * - - - - * - 8892 ORTHODONTIC RE-TREATMENT * * - * - - - - * - 8901 CONSULTATION - MFOS - 8902 CONSULTATION - MFOS (DETAILED) -

8903

HOUSE/HOSP/NURSING HOME CONSULTATION -

MFOS -

8904

HOUSE/HOSP/NURSING HOME CONSULTATION

(SUBSEQUENT) - MFOS - 8905 AFTER REGULARLY HOURS CONSULTATION - -

8907

HOUSE/HOSP/NURSING HOME CONSULTATION

(MAXIMUM PER WEEK) - MFOS -

8908

SURGICAL REMOVAL OF ROOTS FROM

MAXILLARY ANTRUM R 1 710.50 R 2 565.80 - - - - - R 1 710.50 - 8909 ORAL ANTRAL FISTULA CLOSURE R 1 311.30 R 1 966.90 - - - - - R 1 311.30 - 8911 CALDWELL-LUC PROCEDURE R 513.10 R 769.50 - - - - - R 513.10 - 8917 BIOPSY OF ORAL TISSUE - SOFT R 327.00 R 436.00 - R 436.00 - - - R 327.00 - 8919 BIOPSY OF BONE - NEEDLE * R 503.40 R 755.10 - * - - - R 503.40 - 8921 BIOPSY – EXTRA-ORAL BONE/SOFT TISSUE * R 823.70 R 1 235.40 - * - - - R 823.70 - 8931 TREATMENT OF POST-EXTRACTION R 94.80 R 568.80 - R 94.80 - R 94.80 R 80.10 R 94.80 - 8933 TREATMENT OF HAEMORRHAGE (BLOOD R 1 311.30 R 1 966.90 - R 1 311.30 - R 1 311.30 - R 1 311.30 - 8935 TREATMENT OF SEPTIC SOCKET R 94.80 R 148.60 - R 94.80 - R 94.80 R 80.10 R 94.80 - 8937 SURGICAL REMOVAL OF TOOTH R 559.40 R 755.10 - R 559.40 - - - R 559.40 -

*-

Trf


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General

Dental

Practice (54)

Maxillo-Facial

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Surgery (62)

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(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

8941

SURGICAL REMOVAL OF IMPACTED TOOTH -

FIRST TOOTH R 927.50 R 1 219.70 - R 927.50 - - - R 927.50 -

8943


SECOND TOOTH R 497.60 R 657.10 - R 497.60 - - - R 497.60 -

8945


THIRD AND SUBSEQUENT TEETH R 282.70 R 372.80 - R 282.70 - - - R 282.70 -

8953

SURGICAL REMOVAL OF RESIDUAL ROOTS, FIRST

TOOTH - PER TOOTH R 559.50 R 755.10 - R 755.10 - - - - -

8957

ALVEOLOTOMY OR ALVEOLECTOMY (INCLUDING

EXTRACTIONS) R 686.80 R 1 030.20 - R 686.80 - - - R 686.80 - 8958 EMERGENCY TRACHEOTOMY * * * - - - - - - - 8959 PHARYNGOSTOMY * * * - - - - - - - 8961 TOOTH TRANSPLANTATION R 1 125.90 R 1 688.90 - - - - - - - 8962 HARVEST ILIAC CREST GRAFT R 415.10 R 510.10 - - - - - - - 8963 HARVEST RIB GRAFT R 476.20 R 714.20 - - - - - - - 8964 HARVEST CRANIUM GRAFT R 372.80 R 559.40 - - - - - - - 8965 PERIPHERAL NEURECTOMY R 1 125.90 R 1 688.90 - - - - - - - 8966 REPAIR OF ORONASAL FISTULA (LOCAL FLAPS) * * * - - - - - - -

8967

SURGICAL REMOVAL OF JAW CYST - INTRA-ORAL

APPROACH R 1 564.20 R 2 346.20 - - - - - R 1 564.20 -

8969

SURGICAL REMOVAL OF JAW CYST - EXTRA-ORAL

APPROACH R 2 505.60 R 3 758.50 - - - - - - - 8971 EXCISION OF TUMOUR OF THE SOFT TISSUE R 503.40 R 755.10 - R 755.10 - - - - - 8973 SURGICAL EXCISION OF TUMOURS OF THE JAW R 2 505.60 R 3 758.50 - - - - - - - 8975 HEMIRESECTION OF JAW EXCLUDING CONDYL * * * - - - - - - - 8977 SURGICAL REPAIR OF MAXILLA OR MANDIBLE - R 2 630.10 R 3 945.00 - - - - - - - 8979 HARVESTING OF AUTOGENOUS GRAFTS (INTRA- R 216.90 R 325.40 - R 325.40 - - - - -

8981

SURGICAL EXPOSURE OF IMPACTED OR

UNERUPTED TEETH TO AID ERUPTION R 1 033.30 R 1 407.80 - R 1 407.80 - - - - - 8983 CORTICOTOMY - FIRST TOOTH R 747.70 R 1 121.70 - - - - - - -

*-

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General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

8984 CORTICOTOMY - EACH ADDITIONAL TOOTH R 379.10 R 568.80 - - - - - - - 8985 FRENULECTOMY/FRENULOTOMY R 686.80 R 1 030.20 - R 1 030.20 - - - R 686.80 - 8987 REDUCTION OF MYLOHYOID RIDGES - PER SIDE R 1 125.90 R 1 688.90 - - - - - - - 8989 REMOVAL TORUS MANDIBULARIS R 1 125.90 R 1 688.90 - - - - - - - 8991 REMOVAL OF TORUS PALATINUS R 1 125.90 R 1 688.90 - - - - - - -

8993

SURGICAL REDUCTION OF OSSEOUS TUBEROSITY -

PER SIDE R 503.40 R 755.10 - - - - - - - 8995 GINGIVECTOMY - PER JAW R 1 001.70 R 1 502.60 - - - - - - - 8997 SULCOPLASTY / VESTIBULOPLASTY R 2 581.60 R 3 872.40 - R 3 872.40 - - - - -

9003

REPOSITION MENTAL FORAMEN AND NERVE -

PER SIDE R 1 564.20 R 2 346.20 - - - - - - - 9004 LATERALIZATION OF INFERIOR DENTAL NERVE R 2 520.40 R 3 780.70 - - - - - - -

9005

ALVEOLAR RIDGE AUGMENTATION - TOTAL (BY

BONE GRAFT) R 2 632.10 R 3 948.20 - R 3 948.20 - - - - -

9007

ALVEOLAR RIDGE AUGMENTATION - TOTAL (BY

ALLOPLASTIC MATERIAL) R 1 656.80 R 2 485.10 - - - - - - -

9008

ALVEOLAR RIDGE AUGMENTATION - ONE TO

TWO TOOTH SITES R 512.20 R 936.90 - R 936.90 - - - - -

9009

ALVEOLAR RIDGE AUGMENTATION - THREE

ACROSS 3 OR MORE TOOTH SITES R 1 138.50 R 1 707.80 - R 1 707.80 - - - - - 9010 SINUS LIFT PROCEDURE R 1 710.50 R 2 565.80 - R 2 565.80 - - - - -

9011

INCISION & DRAINAGE OF ABSCESS - INTRA-ORAL

(PYOGENIC) R 320.20 R 480.30 - - - - R 151.20 - -

9013

INCISION & DRAINAGE OF ABSCESS - EXTRA-ORAL

(PYOGENIC) * * * - * - - - - -

9015

APICECTOMY/PERIRADICULAR SURGERY -

ANTERIORS (INCLUDING RETROGRADE FILLING) R 638.20 R 846.80 - R 846.80 - R 846.80 - R 638.20 -

9016

APICECTOMY/PERIRADICULAR SURGERY -

MOLARS (INCLUDING RETROGRADE FILLING) R 1 125.90 R 1 688.90 - R 1 688.90 - R 1 688.90 - R 1 125.90 -

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Denis Rates

9017

DECORTICATION, SAUCERISATION AND

SEQUESTRECTOMY * * * - - - - - - -

9019

SEQUESTRECTOMY - INTRA ORAL PER SEXTANT

AND OR RAMUS R 503.40 R 755.10 - - - - - - -

9021

SUTURE - RECONSTRUCTION, MINOR (EXCLUDES

CLOSURE OF SURGICAL INCISIONS) R 638.20 R 846.80 - - - - - R 638.20 -

9023

SUTURE - RECONSTRUCTION, MAJOR (EXCLUDES

CLOSURE OF SURGICAL INCISIONS) R 1 188.20 R 1 782.20 - - - - - R 1 188.20 - 9024 DENTO-ALVEOLAR FRACTURE - PER SEXTANT R 564.50 R 846.80 - - - - - - - 9025 MANDIBLE FRACTURE - CLOSED REDUCTION * * * - - - - - - -

9027

MANDIBLE FRACTURE - COMPOUND, WITH

EYELET WIRING * * * - - - - - * - 9029 MANDIBLE FRACTURE - SPLINTS * * * - - - - - * - 9031 MANDIBLE FRACTURE - OPEN REDUCTION * * * - - - - - * -

9032

REDUCTION OF MASSETER MUSCLE AND BONE -

EXTRA-ORAL APPROACH - 9033 OPEN TREATMENT OF CONDYLAR FRACTURE - 9035 MAXILLA FRACTURE - LE FORT I OR GUERIN * * * - - - - - - -

9036

OPEN TREATMENT OF MAXILLARY FRACTURE - LE

FORT I -

9037

MAXILLA FRACTURE - LE FORT II OR MIDDLE

THIRD FACE * * * - - - - - - -

9038

OPEN TREATMENT OF MAXILLARY FRACTURE - LE

FORT II MIDDLE THIRD OF FACE -

9039

MAXILLA FRACTURE - LE FORT III OR

CRANIOFACIAL DISJUNCTION * * * - - - - - - - 9041 ZYGOMATIC ARCH FRACTURE - CLOSED * * * - - - - - - - 9043 ZYGOMATIC ARCH FRACTURE - OPEN REDUCTION * * * - - - - - - -

9045

ZYGOMATIC ARCH FRACTURE - OPEN REDUCTION

(REQUIRING OSTEOSYNTHESIS AND/OR * * * - - - - - - -

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Denis Rates

9046 PLACEMENT OF ZYGOMATICUS FIXTURE, PER * * * - - - - - - - 9047 OSTEOTOMY - OPEN WITH STABILISATION * * * * * - * - - -

9048

SURGICAL REMOVAL OF INTERNAL FIXATION

DEVICES, PER SITE * * * - * - - - * -

9049

OSTEOTOMY - MANDIBLE BODY, ANTERIOR

SEGMENTAL * * * * * - * - - - 9050 OSTEOTOMY - TOTAL SUBAPICAL * * * * * - * - - - 9051 GENIOPLASTY * * * * * - * - - - 9052 MIDFACIAL EXPOSURE * * * * * - * - - - 9053 CORONOIDECTOMY (INTRA-ORAL APPROACH) * * * * * - * - - - 9055 OSTEOTOMY - SEGMENTED, POSTERIOR * * * * * - * - - - 9057 OSTEOTOMY - SEGMENTED, ANTERIOR * * * * * - * - - -

9059

RECONSTRUCT MAXILLA - LE FORT I OSTEOTOMY,

ONE PIECE * * * * * - * - - -

9060

RECONSTRUCT MAXILLA - LE FORT I OSTEOTOMY

W/ REPOSITIONING AND GRAFT * * * * * - * - - - 9061 PALATAL OSTEOTOMY * * * * * - * - - -

9062

RECONSTRUCT MAXILLA - LE FORT I OSTEOTOMY,

MULTIPLE SEGMENTS * * * * * - * - - -

9063

RECONSTRUCT MAXILLA - LE FORT 2 OSTEOTOMY

(FACIAL AND POST-TRAUMATIC DEFORMITIES) * * * * * - * - - -

9065

RECONSTRUCT MAXILLA - LE FORT 3 OSTEOTOMY

(SEVERE CONGENITAL DEFORMITIES) * * * * * - * - - - 9066 SURGICAL EXPANSION - MAXILLIARY OR * * * * * - * - - -

9067

DISTRACTION OSTEOGENESIS - ACROSS ONE TO

TWO TOOTH SITES -

9068

DISTRACTION OSTEOGENESIS - ACROSS THREE TO

FIVE TOOTH SITES - 9069 GLOSSECTOMY - PARTIAL * * * * * - * - - - 9070 DISTRACTION OSTEOGENESIS - FULL ARCH -

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Denis Rates

9071 GENIOHYOIDOTOMY * * * * * - * - - -

9072

CLOSE SECONDARY ORO-NASAL FISTULA W/

BONE GRAFTING (COMPLETE PROCEDURE) * * * * * - * - - - 9074 TMJ ARTHROSCOPY DIAGNOSTIC * * * - - - - - * - 9075 CONDYLECTOMY, CORONOIDECTOMY OR BOTH * * * * * - * - - - 9076 TMJ ARTROCENTESIS * * * - - - - - * - 9077 TMJ INTRA-ARTICULAR INJECTION * * * - - - - - - - 9079 TRIGGER POINT INJECTION * * * - - - - - - - 9081 CONDYLECTOMY (WARD/KOSTECKA) * * * * * - * - - - 9083 TMJ SRTHROPLASTY * * * - - - - - - - 9085 REDUCTION OF TMJ DISLOC W/O ANAESTHETIC * * * - - - - - * - 9087 REDUCTION OF TMJ DISLOC W/ ANAESTHETIC * * * - - - - - * -

9089

REDUCTION OF TMJ DISLOC W/ ANAESTHETIC

AND IMMOBOBILISATION * * * - - - - - * -

9091

REDUCTION OF TMJ DISLOCATION - OPEN

REDUCTION * * * - - - - - - - 9092 JOINT RECONSTRUCTION * * * - - - - - - - 9093 REMOVAL OF SALIVARY STONE R 564.50 R 846.80 - - - - - R 564.50 - 9095 EXCISION OF SUBLINGLUAL SALIVARY GLAND * * * - - - - - * -

9096

EXCISION OF SALIVARY GLAND - EXTRA ORAL

APPROACH * * * - - - - - - -

9099

UNLISTED DENTAL PROCEDURE OR SERVICE (BY

REPORT) * * * * * - * * * -

9101

OBTURATOR PROSTHESIS, SURGICAL - MODIFIED

DENTURE * * - - - - * - - -

9102

OBTURATOR PROSTHESIS, SURGICAL -

CONTINUOUS BASE * * - - - - * - - - 9103 OBTURATOR PROSTHESIS, SURGICAL - SPLIT BASE * * - - - - * - - -

9104

OBTURATOR PROSTHESIS, INTERIM - ON

EXISTING DENTURE * * - - - - * - - -

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Denis Rates

9105

OBTURATOR PROSTHESIS, INTERIM - ON NEW

DENTURE * * - - - - * - - -

9106

OBTURATOR PROSTHESIS, DEFINITIVE -

OPEN/HOLLOW BOX * * - - - - * - - -

9107

OBTURATOR PROSTHESIS, DEFINITIVE - SILICONE

GLOVE * * - - - - * - - -

9108

MANDIBULAR RESECTION PROSTHESIS W/ GUIDE

FLANGE * * - - - - * - - -

9109

MANDIBULAR RESECTION PROSTHESIS W/O

GUIDE FLANGE * * - - - - * - - -

9110

MANDIBULAR RESECTION PROSTHESIS, PALATAL

AUGMENTATION * * - - - - * - - - 9111 GLOSSAL RESECTION PROSTHESIS - SIMPLE * * - - - - * - - - 9112 GLOSSAL RESECTION PROSTHESIS - COMPLEX * * - - - - * - - - 9113 RADIATION CARRIER - SIMPLE * * - - - - * - - - 9114 RADIATION CARRIER - COMPLEX * * - - - - * - - - 9115 RADIATION SHIELD - SIMPLE * * - - - - * - - - 9116 RADIATION SHIELD - COMPLEX * * - - - - * - - - 9117 RADIATION CONE LOCATOR * * - - - - * - - - 9118 CHEMOTHERAPEUTIC AGENT CARRIER * * - - - - * - - - 9119 FEEDING AID PROSTHESIS, NEONATAL * * - * - - * - - -

9120

ORTHOPAEDIC APPLIANCE, ACTIVE PRESURGICAL

- MINOR * * - * - - * - - -

9121


- MODERATE * * - * - - * - - -

9122


- SEVERE * * - * - - * - - -

9123


- MODIFICATION * * - * - - * - - -

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(95)

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(96)

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(113)






Denis Rates

9125

SPEECH AID/OBTURATOR PROSTHESIS - PALATAL

ALTERATION * * - - - - * - - -

9126

SPEECH AID/OBTURATOR PROSTHESIS - VELAR

ALTERATION * * - - - - * - - -

9127

SPEECH AID/OBTURATOR PROSTHESIS -

PHARYNGEAL ALTERATION * * - - - - * - - -

9128

SPEECH AID/OBTURATOR PROSTHESIS -

MODIFICATION * * - - - - * - - - 9129 SPEECH AID/OBTURATOR PROSTHESIS - * * - - - - * - - - 9130 SPEECH AID APPLIANCE - PALATAL LIFT * * - - - - * - - - 9131 SPEECH AID APPLIANCE - PALATAL STIMULATING * * - - - - * - - - 9132 SPEECH AID APPLIANCE - BULB * * - - - - * - - - 9133 SPEECH AID APPLIANCE - MODIFICATION * * - - - - * - - - 9134 UNSPECIFIED SPEECH AID APPLIANCE * * - - - - * - - - 9135 AURICULAR PROSTHESIS - SIMPLE * * - - - - * - - - 9136 AURICULAR PROSTHESIS - COMPLEX * * - - - - * - - - 9137 NASAL PROSTHESIS - SIMPLE * * - - - - * - - - 9138 NASAL PROSTHESIS - COMPLEX * * - - - - * - - - 9139 OCULAR PROSTHESIS - INTERIM * * - - - - * - - - 9140 OCULAR PROSTHESIS - MODIFIED STOCK * * - - - - * - - - 9141 OCULAR PROSTHESIS - CUSTOM APPLIANCE * * - - - - * - - - 9142 ORBITAL PROSTHESIS - SIMPLE * * - - - - * - - - 9143 ORBITAL PROSTHESIS - COMPLEX * * - - - - * - - - 9148 UNSPECIFIED BODY PROSTHESIS - SIMPLE * * - - - - * - - - 9149 UNSPECIFIED BODY PROSTHESIS - COMPLEX * * - - - - * - - - 9150 FACIAL PROSTHESIS, SURGICAL - SIMPLE * * - - - - * - - - 9151 FACIAL PROSTHESIS, SURGICAL - COMPLEX * * - - - - * - - - 9155 CRANIAL PROSTHESIS * * - - - - * - - - 9156 CRANIAL IMPLANT PROSTHESIS, CUSTOM MADE * * - - - - * - - -

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Denis Rates

9157

FACIAL IMPLANT PROSTHESIS, CUSTOM MADE -

SIMPLE * * - - - - * - - -

9158

FACIAL IMPLANT PROSTHESIS, CUSTOM MADE -

COMPLEX * * - - - - * - - - 9159 OCULAR IMPLANT PROSTHESIS, CUSTOM MADE * * - - - - * - - - 9160 BODY IMPLANT PROSTHESIS - CUSTOM MADE * * - - - - * - - - 9161 SURGICAL SPLINT - SIMPLE * * - - - - * - - - 9162 SURGICAL SPLINT - COMPLEX * * - - - - * - - - 9163 SURGICAL TEMPLATE - SIMPLE * * - - - - * - - - 9164 SURGICAL TEMPLATE - COMPLEX * * - - - - * - - - 9165 SURGICAL CONFORMER - SIMPLE * * - - - - * - - - 9166 SURGICAL CONFORMER - COMPLEX * * - - - - * - - - 9167 TRISMUS APPLIANCE (SIMPLE) * * - - - - * - - - 9168 TRISMUS APPLIANCE (COMPLEX) * * - - - - * - - - 9169 ORTHOSES APPLIANCE * * - - - - * - - - 9170 FACIAL PALSY APPLIANCE * * - - - - * - - - 9171 COMMISSURE SPLINT * * - - - - * - - - 9172 ORAL RETRACTOR, DYNAMIC - PER ARM * * - - - - * - - - 9174 UNSPECIFIED BURN APPLIANCE - 9175 THEATRE ATTENDANCE (MAXFAC PROSTHOD) -

9180

SURGICAL PLACEMENT OF SUB-PERIOSTEAL

IMPLANT - PREPARATORY STAGE * R 1 704.20 R 1 704.10 - - - - - - -

9181

SURGICAL PLACEMENT OF SUB-PERIOSTEAL

IMPLANT - PLACEMENT STAGE * R 1 704.20 R 1 704.10 - - - - - - - 9182 SURGICAL PLACEMENT OF ENDOSTEAL IMPLANT * R 853.10 R 1 279.70 - R 1 279.70 - - - - -

9183

SURGICAL PLACEMENT OF ENDOSSEUS IMPLANT -

FIRST PER QUADRANT * R 1 200.80 R 1 632.00 - R 1 632.00 - R 1 631.90 - - -

9184


SECOND PER QUADRANT * R 898.90 R 1 224.40 - R 1 224.40 - R 1 224.00 - - -

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Denis Rates

9185


THIRD AND SUBSEQUENT PER QUADRANT * R 601.80 R 820.10 - R 820.10 - * - - - 9187 COST OF ENDOSTEAL IMPLANT BODY * * * - * * * - - - 9188 COST OF PREFABRICATED ABUTMENT * * * - * * * - - - 9189 COST OF OTHER IMPLANT COMPNTS * * * - * * * - - -

9190

SURGICAL EXPOSURE OF ENDOSSEUS IMPLANT -

FIRST PER QUADRANT * R 445.40 R 603.40 - R 603.40 - R 603.40 - - -

9191


SECOND PER QUADRANT * R 334.90 R 453.50 - R 453.50 - R 453.50 - - -

9192


THIRD AND SUBSEQUENT PER QUADRANT * R 224.30 R 305.00 - R 305.00 - R 305.00 - - - 9198 SURGICAL REMOVAL OF IMPLANT * R 555.10 R 832.70 - R 832.70 - R 555.20 - R 555.10 - 9201 CONSULTATION - ORAL PATHOLOGIST -

9203

HOUSE/HOSP/NURSING HOME CONSULTATION -

ORAL PATHOLOGIST - 9205 CONSULTATION - ORAL PATHOLOGIST - 9207 AFTER HOURS VISIT - ORAL PATHOLOGIST - 9220 REPAIR CLEFT HARD PALATE - UNILATERAL * * * - - - - - - -

9222

REPAIR CLEFT HARD PALATE - BILATERAL (ONE

PROCEDURE) * * * - - - - - - -

9224

REPAIR CLEFT HARD PALATE - BILATERAL (TWO

PROCEDURES) * * * - - - - - - -

9226

REPAIR CLEFT SOFT PALATE - W/O MUSCLE

RECONSTRUCTION * * * - - - - - - -

9228

REPAIR CLEFT SOFT PALATE - W/ MUSCLE


9230

REPAIR SUBMUCOSAL CLEFT AND/OR BIFID

UVULA - W/ MUSCLE RECONSTRUCTION * * * - - - - - - -

9232

VELOPHARYNGEAL RECONSTRUCTION -

UNCOMPLICATED * * * - - - - - - -

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Denis Rates

9234 VELOPHARYNGEAL RECONSTRUCTION - * * * - - - - - - - 9238 REPAIR ORONASAL FISTULA (ONE PROCEDURE) * * * - - - - - - - 9240 REPAIR ORONASAL FISTULA (TWO PROCEDURES) * * * - - - - - - - 9246 SECONDARY PERIOSTEAL FLAPS * * * - - - - - - - 9248 LIPADHESION * * * - - - - - * -

9250

REPAIR CLEFT LIP - UNILATERAL W/O MUSCLE


9252

REPAIR CLEFT LIP - UNILATERAL W/ MUSCLE


9254

REPAIR CLEFT LIP - BILATERAL W/O MUSCLE


9256

REPAIR CLEFT LIP - BILATERAL W/ MUSCLE

RECONSTRUCTION * * * - - - - - - - 9258 REPAIR ANTERIOR NASAL FLOOR * * * - - - - - - -

9260

REVISION OF SECONDARY CLEFT LIP DEFORMITY -

PARTIAL * * * - - - - - - -

9262

REVISION OF SECONDARY CLEFT LIP DEFORMITY -

TOTAL W/ MUSCLE RECONSTRUCTION * * * - - - - - - - 9264 ABBE-FLAP - TWO STAGES * * * - - - - - - - 9266 RECONSTRUCT COLUMELLA * * * - - - - - - -

9268

RECONSTRUCT NOSE DUE TO CLEFT DEFORMITY -

PARTIAL * * * - - - - - - -

9270

RECONSTRUCT NOSE DUE TO CLEFT DEFORMITY -

COMPLETE * * * - - - - - - -

9272

PARANASAL AUGMENTATION FOR NASAL BASE

DEVIATION * * * - - - - - - -

9274

REPAIR ANTERIOR TABLE, FRONTAL SINUS

AND/OR SUPRAORBITAL RIM -

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(96)

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Denis Rates

9276

REPAIR ANTERIOR AND POSTERIOR WALL W/

OBTURATION AND/OR CRANIALISATION OF

FRONTAL SINUS -

9278

REPAIR MEDIAL CANTHAL LIGAMENT

(CANTHOPEXY), PER SIDE -

9280

OPEN REDUCTION AND FIXATION OF NASAL

FRACTURES -

9282

MANIPULATION AND IMMOBILISATION OF

NASAL FRACTURE - 9284 MUSCULOFASCIAL FLAP - 9286 MUSCULOCRANIAL FLAP - 9288 BUCCAL FAT PAD (MAJOR REPAIR) - 9290 MAXILLECTOMY - ALVEOLUS ONLY, LEVEL I -

9292

MAXILLECTOMY - ALVEOLUS AND SINUS OR

NASAL FLOOR, LEVEL II -

9294

MAXILLECTOMY - ALVEOLUS, SINUS, NASAL

FLOOR AND ZYGOMA EXCLUDING ORBITAL RIM -

9296


FLOOR AND ZYGOMA INCLUDING ORBITAL RIM -

9298


FLOOR, ZYGOMA, ORBITAL RIM AND PTERYGOID

PLATES LEVEL V -

9300

HEMIRESECTION OF JAW INCLUDING CONDYLE

AND CORONOID PROCESS -

9301

CASTING AND TRIMMING OF MODEL IN PLASTER

(YELLOW/WHITE), PER MODEL R 36.90 R 36.90 R 36.90 R 36.90 R 36.90 R 36.90 - R 36.90 -

9303

CASTING AND TRIMMING OF MODEL IN SUPER-

HARD STONE (DIE-STONE) PER MODEL R 52.40 R 52.40 R 52.40 R 52.40 R 52.40 R 52.40 - R 52.40 -

9305

CASTING AND TRIMMING OF STUDY MODEL, PER

MODEL R 97.10 R 97.10 R 97.10 R 97.10 R 97.10 R 97.10 - R 97.10 -

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(96)

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Denis Rates

9307

CASTING AND TRIMMING OF GNATHOSTATIC

MODEL, PER MODEL. R 126.20 R 126.20 R 126.20 R 126.20 R 126.20 R 126.20 - R 126.20 -

9309

NEW TRIMMED BASE TO SUPPLIED MODEL, PER

MODEL R 44.70 R 44.70 R 44.70 R 44.70 R 44.70 R 44.70 - R 44.70 - 9311 TRIMMING OF SUPPLIED MODEL, PER MODEL R 27.20 R 27.20 R 27.20 R 27.20 R 27.20 R 27.20 - R 27.20 - 9312 GINGIVAL TISSUE MASK PER IMPLANT R 209.60 R 209.60 R 209.60 R 209.60 R 209.60 R 209.60 - - - 9313 DUPLICATING MODEL, PER MODEL R 112.60 R 112.60 R 112.60 R 112.60 R 112.60 R 112.60 - - - 9314 REFRACTORY MODEL, PER UNIT R 110.60 R 110.60 R 110.60 R 110.60 R 110.60 R 110.60 - - -

9315

MODELS AND DUPLICATE MODELS (VIRGIN

MODEL) FOR CROWN AND BRIDGE, WORK

INCLUSIVE OF ONE REMOVABLE DIE R 153.40 - - R 153.40 R 153.40 R 153.40 - R 153.40 -

9317

SECTIONAL MODELS FOR CROWN AND BRIDGE,

WORK INCLUSIVE OF ONE REMOVABLE DIE R 135.90 - - - R 135.90 R 135.90 - - -

9319

EACH ADDITIONAL REMOVABLE DIE FOR ITEMS

9315 AND 9317 PER DIE R 34.90 - - R 34.90 R 34.90 R 34.90 - R 34.90 -

9320

INDEXED OR MODEL TRAY PER DIE (NOT MORE

THAN 9319) R 34.90 - - - R 34.90 R 34.90 - - - 9321 OCCLUSION BLOCK, PER BLOCK R 133.90 R 133.90 - - R 133.90 R 133.90 - R 133.90 - 9323 OCCLUSION BLOCK ON BASEPLATE, PER BLOCK R 168.90 - - - R 168.90 R 168.90 - - -

9327

INFECTION CONTROL PER IMPRESSION,

DENTURE (WAX OR ACRYLIC) OR ANY ITEM IN

CONTACT WITH BODY FLUIDS R 25.20 R 25.20 R 25.20 R 25.20 R 25.20 R 25.20 - R 25.20 - 9329 FIT AND SUPPLY OF DISPOSABLE ARTICULATOR R 66.00 - R 66.00 - R 66.00 R 66.00 - - -

9330

DELIVERY / COLLECTION FEE PER COMPLETED

PROCEDURE (MAXIMUM 4) - 9331 FULL UPPER AND LOWER DENTURES R 1 801.40 R 1 801.40 - - R 1 801.40 R 1 801.40 - - - 9333 FULL UPPER OR LOWER DENTURE R 1 054.00 - - - R 1 054.00 R 1 054.00 - R 1 054.00 -

9335

SET-UP AND WAXING OF FULL UPPER AND

LOWER DENTURES R 621.20 - - - R 621.20 R 621.20 - - -

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General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

9337

SET-UP AND WAXING OF FULL UPPER OR LOWER

DENTURE R 415.40 - - - R 415.40 R 415.40 - - -

9339

WAXING AND FINISHING OF FULL UPPER AND

LOWER DENTURES R 1 104.50 - - - R 1 104.50 R 1 104.50 - - -

9341

WAXING AND FINISHING OF FULL UPPER OR

LOWER DENTURE R 617.30 - - - R 617.30 R 617.30 - - -

9343

ADDITIONAL FEE FOR DENTURES ON FULLY

ADJUSTABLE ARTICULATOR AT REQUEST OF R 1 758.70 - - - R 1 758.70 R 1 758.70 - - -

9345

ADDITIONAL FEE FOR IMMEDIATE DENTURES, OR

TOOTH SOCKETED R 25.20 - - - R 25.20 R 25.20 - - -

9346

ADDITIONAL FEE FOR IMMEDIATE DENTURES,

PER TOOTH NOT SOCKETED. R 13.60 - - R 13.60 R 13.60 R 13.60 - - -

9347

ADDITIONAL FEE FOR EACH RETRY FROM THE

THIRD AND UPWARDS AT AN AGREED QUANTUM

OF TIME TO BE CALCULATED AT HOURLY RATE R 399.90 - - - R 399.90 R 399.90 - - - 9351 SET-UP AND FINISH OF ONE-TOOTH DENTURE R 483.30 - - R 483.30 R 483.30 R 483.30 - - - 9352 SET-UP AND FINISH OF TWO-TOOTH DENTURE R 514.40 - - R 514.40 R 514.40 R 514.40 - - - 9353 SET-UP AND FINISH OF THREE-TOOTH DENTURE R 551.30 - - R 551.30 R 551.30 R 551.30 - - - 9354 SET-UP AND FINISH OF FOUR-TOOTH DENTURE R 582.30 - - R 582.30 R 582.30 R 582.30 - - - 9355 SET-UP AND FINISH OF FIVE-TOOTH DENTURE R 628.90 - - R 628.90 R 628.90 R 628.90 - - - 9356 SET-UP AND FINISH OF SIX-TOOTH DENTURE R 751.20 - - R 751.20 R 751.20 R 751.20 - - - 9357 SET-UP AND FINISH OF SEVEN-TOOTH DENTURE R 892.90 - - R 892.90 R 892.90 R 892.90 - - - 9358 SET-UP AND FINISH OF EIGHT-TOOTH DENTURE R 947.30 - - R 947.30 R 947.30 R 947.30 - - - 9359 SET-UP AND FINISH NINE OR MORE TOOTH R 970.60 - - R 970.60 R 970.60 R 970.60 - - - 9361 SET-UP AND WAXING OF ONE-TOOTH DENTURE R 137.80 - - R 137.80 R 137.80 R 137.80 - - - 9362 SET-UP AND WAXING OF TWO-TOOTH DENTURE R 166.90 - - R 166.90 R 166.90 R 166.90 - - - 9363 SET-UP AND WAXING OF THREE-TOOTH R 190.20 - - R 190.20 R 190.20 R 190.20 - - - 9364 SET-UP AND WAXING OF FOUR-TOOTH DENTURE R 221.30 - - R 221.30 R 221.30 R 221.30 - - - 9365 SET-UP AND WAXING OF FIVE-TOOTH DENTURE R 244.60 - - R 244.60 R 244.60 R 244.60 - - - 9366 SET-UP AND WAXING OF SIX-TOOTH DENTURE R 289.20 - - R 289.20 R 289.20 R 289.20 - - -

*-

Trf


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required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

9367 SET-UP AND WAXING OF SEVEN-TOOTH R 318.40 - - R 318.40 R 318.40 R 318.40 - - - 9368 SET-UP AND WAXING OF EIGHT-TOOTH DENTURE R 341.60 - - R 341.60 R 341.60 R 341.60 - - -

9369

SET-UP AND WAXING OF NINE OR MORE TOOTH

DENTURE R 364.90 - - R 364.90 R 364.90 R 364.90 - - - 9371 WAXING AND FINISHING OF ONE-TOOTH R 378.50 - - R 378.50 R 378.50 R 378.50 - - - 9372 WAXING AND FINISHING OF TWO-TOOTH R 386.30 - - R 386.30 R 386.30 R 386.30 - - - 9373 WAXING AND FINISHING OF THREE-TOOTH R 392.10 - - R 392.10 R 392.10 R 392.10 - - - 9374 WAXING AND FINISHING OF FOUR-TOOTH R 399.90 - - R 399.90 R 399.90 R 399.90 - - - 9375 WAXING AND FINISHING OF FIVE-TOOTH R 415.40 - - R 415.40 R 415.40 R 415.40 - - - 9376 WAXING AND FINISHING OF SIX-TOOTH DENTURE R 430.90 - - R 430.90 R 430.90 R 430.90 - - - 9377 WAXING AND FINISHING OF SEVEN-TOOTH R 537.70 - - R 537.70 R 537.70 R 537.70 - - - 9378 WAXING AND FINISHING OF EIGHTH-TOOTH R 559.10 - - R 559.10 R 559.10 R 559.10 - - -

9379

WAXING AND FINISHING OF NINE OR MORE

TOOTH DENTURE R 590.10 - - R 590.10 R 590.10 R 590.10 - - -

9383

ADDITIONAL FEE FOR FINISHING DENTURE IN

TOOTH COLOUR MATERIAL, PER TOOTH R 93.20 - - R 93.20 R 93.20 R 93.20 - - -

9385

ADDITIONAL FEE FOR SUPPLYING FINISHED

DENTURE ON DUPLICATE MODEL R 176.60 - - R 176.60 R 176.60 R 176.60 - - -

9391

BASIC CHARGE WHICH INCLUDES REPAIR OF ONE

FRACTURE, OR ADDITION OF ONE TOOTH, OR

ADDITION OF ONE CLASP R 306.70 - R 306.70 R 306.70 R 306.70 R 306.70 - R 306.70 -

9393

ADDITIONAL CHARGE FOR EACH ADDITIONAL

FRACTURE, OR TOOTH, OR CLASP R 95.10 - R 95.10 R 95.10 R 95.10 R 95.10 - - - 9395 ADDITIONAL FEE FOR USING WIRE R 108.70 - R 108.70 R 108.70 R 108.70 R 108.70 - - -

9397

ADDITIONAL FEE FOR USING PRE-FORMED

STRENGTHENER R 116.50 - R 116.50 R 116.50 R 116.50 R 116.50 - - -

9398

ADDITIONAL FEE FOR USING MESH

STRENGTHENER IN REPAIR PROCEDURE R 184.40 - - R 184.40 R 184.40 R 184.40 - - - 9401 CLEAR BASE - 9403 DOX GRINDING OF UPPER AND LOWER R 172.80 - - R 172.80 R 172.80 R 172.80 - - -

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Trf


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General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

9405

INLAY TO ARTIFICIAL TOOTH, ONE SURFACE

ONLY, PER INLAY -

9406

INLAY TO ARTIFICIAL TOOTH, MULTI-SURFACES

E.G. HORSESHOE OR L-TYPE INLAY, PER INLAY -

9407

HEKA BASE TECHNIQUE PER UPPER OR LOWER

DENTURE R 407.60 - - R 407.60 R 407.60 R 407.60 - - - 9409 FREGO FRAME R 176.60 - - R 176.60 R 176.60 R 176.60 - - - 9410 BLEACHING TRAY - 9411 TEMPLATE PER UPPER OR LOWER DENTURE R 487.20 - - R 487.20 R 487.20 R 487.20 - - - 9413 RELINE/REBASE OF SINGLE DENTURE R 613.40 - - R 613.40 R 613.40 R 613.40 - - - 9415 REMODEL OF SINGLE DENTURE R 943.40 - - R 943.40 R 943.40 R 943.40 - - - 9417 SOFT BASE RELINE PER DENTURE R 1 549.00 - - R 1 549.00 R 1 549.00 R 1 549.00 - - - 9419 SOFT BASE TO NEW DENTURE, PER DENTURE R 1 549.00 - - R 1 549.00 R 1 549.00 R 1 549.00 - - - 9421 GUM TINTING PER DENTURE - 9423 LINGUAL OR PALATAL BAR R 231.00 - R 231.00 R 231.00 R 231.00 R 231.00 - - -

9425

CLEANING AND POLISHING OF EXISTING

DENTURE, PER DENTURE R 188.30 - - R 188.30 R 188.30 R 188.30 - - - 9427 MESH STRENGTHENER R 161.10 - - R 161.10 R 161.10 R 161.10 - - -

9429

THEATRE/ CONSULTATION OUT OF LABORATORY

PER HOUR OR PART THEREOF R 399.90 R 399.90 - R 399.90 R 399.90 R 399.90 - - - 9431 SPECIAL TRAY, ACRYLIC, EACH R 151.40 - - R 151.40 R 151.40 R 151.40 - - - 9432 SPECIAL TRAY LIGHT CURE, EACH R 165.00 - - R 165.00 R 165.00 R 165.00 - - - 9433 SPECIAL TRAY IN BASE PLATE MATERIAL, EACH R 155.30 - - R 155.30 R 155.30 R 155.30 - - -

9435

PROVISION OF SINGLE ARM CLASP, TO PARTIAL

DENTURE R 79.60 - - R 79.60 R 79.60 R 79.60 - - -

9437

PROVISION OF DOUBLE ARM CLASP, TO PARTIAL

DENTURE R 137.80 - - R 137.80 R 137.80 R 137.80 - - -

9439

PROVISION OF SINGLE ARM CLASP WITH REST,

TO PARTIAL DENTURE R 178.60 - - R 178.60 R 178.60 R 178.60 - - -

*-

Trf


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required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

9441

PROVISION OF DOUBLE ARM CLASP WITH REST,

TO PARTIAL DENTURE R 240.70 - - R 240.70 R 240.70 R 240.70 - - -

9443

PROVISION OF PREFORMED ROACH CLASP, TO

PARTIAL DENTURE R 102.90 - - R 102.90 R 102.90 R 102.90 - - - 9445 PROVISION OF REST ONLY TO PARTIAL DENTURE R 102.90 - - R 102.90 R 102.90 R 102.90 - - - 9447 CAST CLASP R 361.00 - - R 361.00 R 361.00 R 361.00 - - -

9448

CASTING AND TRIMMING OF MODEL FROM

IMPRESSION INSIDE OCCLUSION BLOCK OR WAX

TRY IN R 66.00 - - R 66.00 R 66.00 R 66.00 - - -

9450

FINISHING OF ACRYLIC WORK ON ANY CHROME

COBALT OR GOLD PROSTHESIS R 137.80 R 137.80 R 137.80 R 137.80 R 137.80 R 137.80 - - -

9451

METAL BASE FOR FULL UPPER OR FULL LOWER

DENTURE EACH -

9453

BASIC CHARGE - WHICH EXCLUDES MODELS AND

ANY SPECIAL TRAYS WHICH MAY BE REQUIRED

BY THE DENTIST, BUT INCLUDES REFRACTORY R 1 081.20 - - - R 1 081.20 R 1 081.20 - - - 9455 ADDITIONAL CHARGE FOR EACH ONE ARM CLASP R 44.70 - - - R 44.70 R 44.70 - - - 9457 ADDITIONAL CHARGE FOR EACH ROACH CLASP R 75.70 - - - R 75.70 R 75.70 - - - 9459 ADDITIONAL CHARGE FOR EACH REST R 40.80 - - - R 40.80 R 40.80 - - -

9461

ADDITIONAL CHARGE FOR CONTINUOUS CLASP,

PER TOOTH R 44.70 - - - R 44.70 R 44.70 - - -

9463

ADDITIONAL CHARGE FOR LINGUAL BAR, PER

TOOTH PASSED R 104.80 - - - R 104.80 R 104.80 - - - 9465 ADDITIONAL CHARGE FOR PALATAL BAR R 166.90 - - - R 166.90 R 166.90 - - - 9467 ADDITIONAL CHARGE FOR ONLAY -

9469

ADDITIONAL CHARGE FOR SADDLE WITH

FINISHING LINE, PER TOOTH R 73.80 - - - R 73.80 R 73.80 - - -

9471

ADDITIONAL CHARGE FOR SADDLE WITHOUT

FINISHING LINE, PER TOOTH R 42.70 - - - R 42.70 R 42.70 - - -

*-

Trf


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General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

9473

ADDITIONAL CHARGE FOR HORSESHOE SADDLE,

PER TOOTH R 73.80 - - - R 73.80 R 73.80 - - -

9475

ADDITIONAL CHARGE FOR FITTING OF TOOTH TO

METAL BACKING, PER TOOTH R 50.50 - - - R 50.50 R 50.50 - - -

9479

ADDITIONAL CHARGE FOR FITTING ONE DISTAL-

EXTENSION HINGE R 149.50 - - - R 149.50 R 149.50 - - - 9480 ADDITIONAL CHARGE PER MILLED EDGE PER R 130.10 - - - R 130.10 R 130.10 - - - 9481 ADDITIONAL CHARGE FOR EACH SOLDERING R 182.50 - - - R 182.50 R 182.50 - - - 9483 ADDITIONAL CHARGE FOR SOLDERING R 221.30 - - - R 221.30 R 221.30 - - -

9485

ADDITIONAL CHARGE FOR EACH ADDITIONAL

RETENTION SOLDERING JOINT R 67.90 - - - R 67.90 R 67.90 - - - 9487 ADDITIONAL CHARGE FOR EACH WELDING JOINT R 223.20 - - - R 223.20 R 223.20 - - - 9489 ADDITIONAL CHARGE FOR FITTING SWING LOCK R 182.50 - - - R 182.50 R 182.50 - - - 9491 ADDITIONAL CHARGE FOR EACH BACKING CAST R 178.60 - - - R 178.60 R 178.60 - - -

9493

ADDITIONAL CHARGE FOR EACH STEELS BACKING

OR PONTIC CAST (PLASTIC WORK TO BE

CHARGED IN ADDITION) R 194.10 - - - R 194.10 R 194.10 - - -

9495

BASIC FEE FOR THE REPAIRING OF OR ADDITION

TO ANY APPLIANCE NECESSITATING THE CASTING

OF A MODEL (9301) R 281.50 - - - R 281.50 R 281.50 - - -

9497

BASIC FEE IF A NEW SECTION IS TO BE

FABRICATED AND WHERE ITEM 9495 DOES NOT R 320.30 - - - R 320.30 R 320.30 - - -

9501

CERAMIC JACKET CROWN/CEROMER CROWN OR

PONTIC * R 1 228.70 - - - R 1 228.70 R 1 228.70 - - -

9502 CERAMIC METAL SUBSTITUTE COPING * R 991.90 - - - R 991.90 R 991.90 - - - 9505 CERAMIC BONDED CROWN OR PONTIC * R 1 622.80 - - R 1 531.00 R 1 622.80 R 1 622.80 - R 1 622.80 - 9507 POST-SOLDER INVESTED JOINT, PER JOINT R 331.90 - - - R 331.90 R 331.90 - - - 9511 INLAY IN PORCELAIN VENEER CROWN - 9512 CERAMIC, INLAY/ONLAY, BRIDGE RETAINER * * - - - * * - - -

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General

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Maxillo-Facial

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Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

9513 CERAMIC POST * * - - - * * - - -

9515

PORCELAIN SHOULDER PER UNIT (NOT

APPLICABLE TO PONTICS) R 108.70 - - R 108.70 R 108.70 R 108.70 - - -

9520

ADDITIONAL FEE FOR CROWN- & BRIDGE WORK

PERFORMED ON A MOVABLE CONDYLE

ARTICULATOR PER UNIT R 52.40 - - - R 52.40 R 52.40 - - - 9521 FULL METAL CROWN, MOD, THREE-QUARTER * R 1 003.60 - - - R 1 003.60 R 1 003.60 - - - 9524 INDIRECT COMPOSITE RESIN INLAY - 9525 CLASS IV, MO, DO, CERVICAL/OCCLUSAL INLAY * R 826.90 - - - R 826.90 R 826.90 - - -

9526

ADDITIONAL FEE FOR ONE PIECE CASTING OF

CROWN OR INLAY ON POST R 252.30 - - - R 252.30 R 252.30 - - - 9531 PIN-LEDGE INLAY - 9533 FULL METAL PONTIC * R 741.50 - - - R 741.50 R 741.50 - - - 9535 ABUTMENT THIMBLE CAST R 694.90 - - - R 694.90 R 694.90 - - - 9537 PRECISION LOCK AND REST CAST - 9538 LOCK AND REST CAST - 9539 CASTING OF REST ONLY R 281.50 - - - R 281.50 R 281.50 - - - 9541 METAL INLAY OR POST, CAST DIRECT - 9543 GOLD/PRE-SOLDER INVESTED JOINT - 9545 CAST POST WITH THIMBLE, INDIRECT * R 495.00 - - - R 495.00 R 495.00 - - - 9546 MULTIPLE POST * R 819.20 - - - R 819.20 R 819.20 - - -

9547

MANUFACTURE CAST POST AND CORE TO

EXISTING CROWN * R 646.40 - - - R 646.40 R 646.40 - - - 9549 C.S.P. ATTACHMENT (STEIGER) - 9550 MILLING MILLED EDGE PER UNIT R 694.90 - - - R 694.90 R 694.90 - - - 9551 TELESCOPE CROWN -

9553

COMPOSITE/ACRYLIC VENEER CROWN/PONTIC,

INDIRECT * R 1 368.50 - - - R 1 368.50 R 1 368.50 - - - 9557 COMPOSITE/ACRYLIC JACKET CROWN, INDIRECT * R 966.70 - - - R 966.70 R 966.70 - - - 9559 COMPOSITE/ACRYLIC VENEER POST CROWN * R 1 353.00 - - - R 1 353.00 R 1 353.00 - - -

*-

Trf


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General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

9560 INDIRECT COMPOSITE RESIN VENEER - 9561 COMPOSITE/ACRYLIC JACKET CROWN, DIRECT * R 660.00 - - - R 660.00 R 660.00 - - - 9563 TEMPORARY ACRYLIC/COMPOSITE CROWN PER -

9564

HEAT FORMED TEMPLATE SUPPLIED TO DENTIST

FOR THE MANUFACTURE OF TEMPORARY - 9565 COMPOSITE/ACRYLIC-FACING REPLACED R 549.30 - - - R 549.30 R 549.30 - - - 9566 PORCELAIN/ CEROMER FACING REPLACED R 995.80 - - - R 995.80 R 995.80 - - - 9569 WAXING OF CROWN TO EXISTING DENTURE R 388.20 - - - R 388.20 R 388.20 - - -

9570

ADDITIONAL FEE FOR EACH REMAKE AT AN

AGREED QUANTUM OF TIME TO BE CALCULATED

AT AN HOURLY RATE - 9571 BASIC CHARGE WHICH INCLUDES ACRYLIC BASE R 491.10 R 491.10 R 491.10 R 491.10 R 491.10 R 491.10 - - - 9572 BASIC CHARGE NON ACRYLIC BASE R 236.80 - R 236.80 - R 236.80 - - - -

9573

ADDITIONAL CHARGE FOR FITTING FIRST

EXPANSION SCREW R 93.20 - R 93.20 - R 93.20 - - - -

9575

ADDITIONAL FEE FOR FITTING SUBSEQUENT

EXPANSION SCREWS R 79.60 - R 79.60 - R 79.60 - - - - 9576 ADDITIONAL FEE FOR FULL ACLUSAL BITE PLATE R 275.60 R 275.60 R 275.60 R 275.60 R 275.60 R 275.60 - - - 9577 ADDITIONAL FEE FOR BITE PLATE ANTERIOR R 93.20 R 93.20 R 93.20 - R 93.20 R 93.20 - - - 9578 ADDITIONAL FEE FOR BITE PLATE POSTERIOR R 93.20 R 93.20 R 93.20 - R 93.20 R 93.20 - - - 9579 ADDITIONAL FEE FOR FITTING TONGUE GUARD R 116.50 - R 116.50 - R 116.50 - - - - 9581 ADDITIONAL FEE FOR FLAT OR INCLINED PLANE R 71.80 - R 71.80 - R 71.80 - - - - 9583 ADDITIONAL FEE FOR ADAMS CRIB R 85.40 - R 85.40 - R 85.40 - - - - 9585 ADDITIONAL FEE FOR JACKSON CRIB R 89.30 - R 89.30 - R 89.30 - - - - 9587 ADDITIONAL FEE FOR BALL CLASP R 100.90 R 100.90 R 100.90 R 100.90 R 100.90 - - - - 9589 ADDITIONAL FEE FOR SINGLE ARM CLASP R 77.60 - R 77.60 - R 77.60 - - - - 9591 ADDITIONAL FEE FOR DOUBLE ARM CLASP R 135.90 - R 135.90 - R 135.90 - - - -

9593

ADDITIONAL FEE FOR FITTING SINGLE LOOP

FINGER SPRING R 64.10 - R 64.10 - R 64.10 - - - -

*-

Trf


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General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

9595

ADDITIONAL FEE FOR FITTING DOUBLE LOOP

FINGER SPRING R 75.70 - R 75.70 - R 75.70 - - - -

9597

ADDITIONAL FEE FOR FITTING BUCCAL

RETRACTION SPRING R 56.30 - R 56.30 - R 56.30 - - - - 9599 ADDITIONAL FEE FOR FITTING APRON SPRING R 145.60 - R 145.60 - R 145.60 - - - - 9603 ADDITIONAL FEE FOR FITTING COFFIN SPRING R 139.80 - R 139.80 - R 139.80 - - - - 9605 ADDITIONAL FEE FOR FITTING QUAD HELIX R 155.30 - R 155.30 - R 155.30 - - - -

9607

ADDITIONAL FEE FOR FITTING FLAPPER OR “T”-

SPRING R 116.50 - R 116.50 - R 116.50 - - - -

9609

ADDITIONAL FEE FOR FITTING ALL SPRINGS WITH

TUBING, EACH R 130.10 - R 130.10 - R 130.10 - - - - 9611 ADDITIONAL FEE FOR FITTING LABIAL ARCH R 73.80 - R 73.80 - R 73.80 - - - - 9613 ADDITIONAL FEE FOR FITTING BUCCAL ARCH R 87.40 - R 87.40 - R 87.40 - - - - 9615 ADDITIONAL FEE FOR FITTING ROBERTS R 163.10 - R 163.10 - R 163.10 - - - - 9617 INVISIBLE RETAINER -

9619

ADDITIONAL FEE FOR FITTING TWIN WIRE ARCH

EXTRA-ORAL ARCH R 203.80 - R 203.80 - R 203.80 - - - - 9620 ADDITIONAL FEE LIP BUMPER R 85.40 - R 85.40 - R 85.40 - - - - 9621 ADDITIONAL FEE FOR FITTING EXTRA-ORAL ARCH R 194.10 - R 194.10 - R 194.10 - - - -

9622

ADDITIONAL FEE FOR FITTING SPACE

MAINTAINER ARCH R 85.40 - R 85.40 - R 85.40 - - - - 9623 ADDITIONAL FEE FOR EACH SPOT-WELDING R 38.80 - R 38.80 - R 38.80 - - - - 9625 ADDITIONAL FEE FOR EACH SOLDERING JOINT R 62.10 - R 62.10 - R 62.10 - - - -

9627

ADDITIONAL FEE FOR EACH INVESTED

SOLDERING JOINT R 172.80 - R 172.80 - R 172.80 - - - -

9629

ADDITIONAL FEE FOR EACH HOOK FOR ELASTIC

TRACTION R 56.30 - R 56.30 - R 56.30 - - - - 9631 MOUTH PROTECTOR (GUM GUARD) - 9633 ORAL SCREEN R 448.40 R 448.40 R 448.40 R 448.40 R 448.40 R 448.40 - - - 9635 ANDRESEN OR NORWEGIAN APPLIANCE R 801.70 R 801.70 R 801.70 R 801.70 R 801.70 R 801.70 - - -

*-

Trf


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General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

9637 TOOTH POSITIONER R 924.00 - R 924.00 R 924.00 R 924.00 R 924.00 - - - 9639 GUNNING SPLINT R 1 230.70 R 1 230.70 R 1 230.70 R 1 230.70 R 1 230.70 R 1 230.70 - - - 9641 FRANKEL APPLIANCE R 1 188.00 - R 1 188.00 - R 1 188.00 - - - - 9643 CHIN CAP R 394.10 - R 394.10 - R 394.10 - - - - 9645 BIONATOR R 803.60 - R 803.60 - R 803.60 - - - - 9646 DIAGNOSTIC SET-UP - 9647 SNORING APPLIANCE -

9651

PINCHED OR SWAGED BAND WITH WELDED

ATTACHMENT (EXCLUDING COST OF R 236.80 - R 236.80 - R 236.80 - - - -

9653

PINCHED OR SWAGED BAND WITH SOLDERED

ATTACHMENT R 310.60 - R 310.60 - R 310.60 - - - -

9662

ADDITIONAL FEE FOR EACH REMAKE AT AN

AGREED QUANTUM OF TIME TO BE CALCULATED

AT AN HOURLY RATE - 9700 DIATORICS 1 X 6/8 R 194.20 R 194.20 - R 194.20 R 194.20 R 194.20 - R 194.20 - 9702 DIATORICS, ODDS, ANTERIOR R 66.00 - - R 66.00 R 66.00 R 66.00 - - - 9704 DIATORICS, ODDS, POSTERIOR R 66.00 - - R 66.00 R 66.00 R 66.00 - R 66.00 - 9706 COST OF BLEACHING TRAY MATERIAL - 9720 SOFT BASE MATERIAL PER DENTURE R 702.60 - - R 702.60 R 702.60 R 702.60 - R 702.60 - 9722 ACRYLIC PER DENTURE R 79.50 R 79.50 R 79.50 R 79.50 R 79.50 R 79.50 - - - 9724 COST OF PRECISION ATTACHMENT, PER - 9726 PREFORMED BALL OR ROACH CLASP R 13.60 R 13.60 R 13.60 R 13.60 R 13.60 R 13.60 - - - 9728 COST OF LINGUAL / PALATAL BAR R 159.10 - - - R 159.10 R 159.10 - - - 9729 COST OF MESH STRENGTHENER R 83.50 - - - R 83.50 R 83.50 - - -

9730

COST OF PRE-FABRICATED BURN-OUT

COMPONENT, PER COMPONENT R 82.60 - - - R 82.60 R 82.60 - - -

9732

COST OF OTHER ATTACHMENT COMPONENTS

E.G. NYLON CAPS, SLEEVES ETC -

9734

COST OF DOLDER BAR AND CLIPS, PER GRAM OR

PER CLIP -

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

9736 COST OF IMPLANT COMPONENTS * * * - * - * - - - 9738 COST OF PREFORMED STRENGTHENER R 83.50 - - - R 83.50 R 83.50 - - - 9739 ADDITIONAL CHARGE GOLD PLATING - 9740 COST OF GOLD WIRE, PER GRAM - 9741 COST OF COBALT CHROME CASTING ALLOY R 131.90 - - - R 131.90 R 131.90 - - -

9742

COST OF SPECIALISED COBALT CHROME CASTING

METAL E G VITALLIUM, TITANIUM - 9744 COST OF PRECIOUS CASTING ALLOY - 9746 COST OF SEMI-PRECIOUS CASTING ALLOY - 9748 COST OF NON-PRECIOUS CASTING ALLOY * * - - * * * - * - 9752 COST OF PLATINUM FOIL - 9754 COST OF GOLD SOLDER, PER GRAM - 9755 ETCHING FOR BONDING (METAL OR CERAMIC) - 9756 COST OF SILVER SOLDER, PER GRAM R 48.70 - - - R 48.70 R 48.70 - - - 9757 CEROMER MATERIAL - PER UNIT R 992.00 - - - R 991.90 R 992.00 - - - 9758 FIBER RE-ENFORCED MATERIAL PER UNIT R 326.80 - R 326.80 R 326.80 R 326.80 R 326.80 - - - 9759 FIBRE POST * * - - - * * - - - 9760 COMPOSITE RESTORATION MATERIAL - 9761 CERAMIC MATERIAL -

9762

COST OF ANTERIOR ORTHODONTIC

ATTACHMENT, PER ATTACHMENT R 29.00 - R 29.00 - R 29.00 - - - - 9763 ORTHODONTIC MATERIAL R 29.00 R 29.00 R 29.00 - R 29.00 - - - -

9764

COST OF POSTERIOR ORTHODONTIC

ATTACHMENT, PER ATTACHMENT R 29.00 - R 29.00 - R 29.00 - - - - 9765 PREFORMED COMPONENTS R 15.60 - R 15.60 - R 15.60 R 15.60 - - - 9766 COST OF EXPANSION SCREW, PER SCREW R 33.00 - R 33.00 - R 33.00 - - - - 9767 SOLDERING MATERIAL R 7.75 - R 7.75 - R 7.75 R 7.75 - - - 9768 COST OF BUCCAL TUBE/TRANSFER TUBE, PER - 9770 COST OF J-HOOK, PER HOOK R 31.00 - R 31.00 - R 31.00 - - - - 9772 COST OF LINGUAL BUTTONS, PER BUTTON R 31.00 - R 31.00 - R 31.00 R 31.00 - - -

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

9774 COST OF INVISIBLE RETAINER MATERIAL - 9775 R/A CASE - 9776 COST OF MOUTH PROTECTOR MATERIAL - 9778 COST OF ARCH WIRE R 7.75 - R 7.75 - R 7.75 - - - - 9779 DUAL LAMINATE MATERIAL -

9780

POSITIONING AND FINISHING OF COMPLETE

(MALE AND FEMALE) PREFABRICATED BURN-

OUT ATTACHMENT -

9782

POSITIONING AND SOLDERING OF COMPLETE

(MALE AND FEMALE) PRECISION ATTACHMENT - 9783 IMPLANT STENT PER UNIT - 9784 ALIGNMENT OF DOLDER BAR AND CLIPS -

9786

TRIMMING, WAXING AND FINISHING OF

IMPLANT ABUTMENT - CROWN AND BRIDGE

WORK ONLY, PER ABUTMENT R 277.60 - - R 277.60 R 277.60 R 277.60 - - -

9787

WAXING, MILLING AND FINISHING OF A CUSTOM

ABUTMENT R 541.60 - - - R 541.60 R 541.60 - - -

9788

IMPLANT SUPERSTRUCTURE (EDENTULOUS

CASES) INCLUDING PLACING OF PREFORMED

PARTS, PER SECTION CAST -

9789

FINISHING OF PROSTHESIS ON IMPLANT

STRUCTURE PER ARCH R 1 081.20 - - - R 1 081.20 R 1 081.20 - - -

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

*-

Trf


*Pre-auth

required

General

Dental

Practice (54)

Maxillo-Facial

& Oral

Surgery (62)

Orthodontics

(64)

Periodontics

(92)

Dental

Technicians

(93)

Prostodontics

(94)

Dental

Therapists

(95)

Community

Dentistry

(96)

Oral

Hygiene

(113)






Denis Rates

Documents

Denis shall be entitled to update the tariff schedule from ... Guides/2018/DENIS Tariff file 2018.pdf · Benefit entitlement is governed by the relevant scheme option and rules as