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DEFINITIONS <br /> <br /> Eligible patient means an eligible employee and his eligible dependents (to be determined as provided in the Eligibility <br />Rules - Appendix "A"). <br /> <br /> Participating dentist means a dentist who is licensed to practice by the State of California and agrees to render dental <br />care to eligible patients in accordance with standard terms and conditions applicable to dentist participation in CDS <br />prepaid dental care programs, as established by the Board of Directors of CDS consistent with the provisions of this <br />Agreement. Participating dentist also means any dentist outside of the State of California who is licensed to practice <br />dentistry by the state or other jurisdiction in which he practices and who agrees to render dental care to eligible patients <br />in accordance with the terms of this Agreement. <br /> <br /> Single procedure means a dental procedure listed on the CD$ Table of Allowances (attached hereto as Appendix 'B") <br />to which a separate procedure number is assigned, e.g., a three-surface amalgam restoration of a single permanent tooth <br />(procedure 613) or a complete maxillary denture, including adjustments for a six-month period following installation <br />(procedure 700). <br /> <br /> Usual, Customary and Reasonable fee means a fee which meets all of the following criteria, as determined by CDS <br />based upon confidential fee listings' filed with CDS by member dentists and the findings of local dental society review <br />committees: <br /> <br /> USUAL: Usual fees are those fees usually charged for a given service by an individual dentist to all his private <br /> patients, i.e., his own usual fee. <br /> <br /> CUSTOMARY: A fee is Customary when it is within the range of usual fees charged by dentists of similar training and <br /> experience for the same service within that same specific and limited geographic area. <br /> <br /> REASONABLE: A fee is Reasonable when it meets the above two criteria and when, in the opinion of the review <br /> committee of the responsible dental society, it is justifiable considering the special circumstances of the particular case <br /> in question. <br /> <br /> 1-70-DD <br /> <br /> <br />