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Agmt98 Delta Dental
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Agmt98 Delta Dental
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Last modified
7/5/2005 2:59:37 PM
Creation date
5/20/2005 2:45:37 PM
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Template:
Agreement
Contractor Name
Delta Dental
PROJECT NAME
coverage for police officers & sergeants
RMP File Number
304
Date
2/2/1998
Reso Ref
13279
Box
5933
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<br />---. <br /> <br />---.. <br /> <br />- <br /> <br />----. <br /> <br />Treatment of fractures -- simple <br /> <br />07610 <br />07620 <br /> <br />07630 <br />07640 <br /> <br />07650 <br />07660 <br /> <br />07670 <br /> <br />07680 <br /> <br />Treatment <br />07710 <br />07720 <br />07730 <br />07740 <br />07750 <br />07760 <br /> <br />07770 <br /> <br />07780 <br /> <br />Maxilla -- open reduction (teeth immobilized if present) <br />Maxilla closed reduction (teeth immobilized if <br />present) <br />Mandible -- open reduction (teeth immobilized if present) <br />Mandible closed reduction (tee~h immobilized if <br />present) <br />Malar and/or zygomatic arch -- open reduction, by report <br />Malar and/or zygomatic arch -- closed reduction, by <br />report <br />Alveolus <br />splinting <br />Facial bones -- complicated reduction with fixation and <br />multiple surgical approaches, by report <br /> <br />stabilization <br /> <br />of <br /> <br />teeth, <br /> <br />reduction <br /> <br />open <br /> <br />of fractures -- compound <br />Maxilla -- open reduction <br />Maxilla -- closed reduction <br />Mandible -- open reduction <br />Mandible -- closed reduction <br />Malar and/or zygomatic arch -- open reduction, by report <br />Malar and/or zygomatic arch -- closed reduction, by <br />report <br />Alveolus stabilization of teeth, open reduction <br />splinting, by report <br />Facial bones -- complicated reduction with fixation and <br />multiple surgical approaches, by report <br /> <br />Reduction of dislocation and management of other <br />temporomandibular joint dysfunctions <br /> <br />07810 <br />07820 <br />07830 <br /> <br />Open reduction of dislocation, by report <br />Closed reduction of dislocation <br />Manipulation under anesthesia <br /> <br />Repair of traumatic wounds <br /> <br />07910 <br /> <br />Suture of recent small wounds up to 5 cm, by report <br /> <br />11 <br /> <br />-- <br /> <br />--- <br /> <br />__n <br /> <br />--.-.- <br />
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