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Adjunctive General Services Section
Policy Name
Date Modified
Desensitizing Medicaments
01/23/2003
Emergency Palliative Treatment
01/23/2003
Enamel Microabrasion
01/23/2003
Occlusal Adjustment
01/23/2003
Occlusal Guard
01/23/2003
Occlusal Analysis
01/23/2003
Odontoplasty 1 to 2 Teeth
01/23/2003
Other Drugs and/or Medicaments
01/23/2003
Professional Consultation and Visits
01/23/2003
Reimbursement for Dental Anesthesia Procedures
01/23/2004
The Blue Cross and/or Blue Shield Plans comprising The Regence Group serve Idaho, Oregon, Utah and much of Washington state.
The Regence Group and each of its affiliate Plans are independent licensees of the Blue Cross and Blue Shield Association.