1 янв. 2024 г. · D0251. Extra-oral - dental radiographic image. No Charge. D0270. Bitewing - single radiographic image -1 set per year, all combined.

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Primary plan payment based on schedule fee, we are secondary. In-Network Dentist's Fee: $200.00*. Plan Allowance: $150.00. Primary Plan's Scheduled Amount: ...

This benefits summary of the Aetna Dental DMO (Dental Maintenance Organization) provides information on benefits provided ... Consult the plan documents (Schedule ...

1 мая 2024 г. · If. Aetna's payment to the specialty dentist is based on a negotiated fee, then the member's copayment for the service will be based on the same ...

D0180. Comprehensive periodontal evaluation - new or established patient. No Charge. D0210. Intraoral - complete series of radiographic images. No Charge.

Primary plan payment based on schedule fee, we are secondary. In-Network Dentist's Fee: $200.00*. Plan Allowance: $150.00. Primary Plan's Scheduled Amount: ...

In Arizona, DMO®, Advantage Dental, Basic Dental and Family Preventive Dental Plans are provided or administered by Aetna Health Inc.

... 2024, 25630, OFF, $476.85, Treat wrist bone fracture. 2025, 25630, NOF, $443.31, Treat wrist bone fracture. 2026, 25635, OFF, $721.92, Treat ...

*The PPO fee schedule does not apply to DMR plans. 1All statistics are from ... You can also log in to Aetna Dental to view our 2024 Medicare Quick Reference ...