Dental Policies
Navigate directly to a letter:
-
E
- Establishment_and_Adoption_of_Utilization_Review_Criteria_and_Clinical_Guidelines.pdf
- Exhibit_AA_-_Frenectomy.pdf
- Exhibit_A_-_Short_Procedure_Units_(SPU).pdf
- Exhibit_BB_-_Direct_Restoration.pdf
- Exhibit_B_-_Periodontal_Clinical_Criteria.pdf
- Exhibit_C_Dental_Extraction.pdf
- Exhibit_D_-_Crown.pdf
- Exhibit_E_-_Fixed_Prosthodontics.pdf
- Exhibit_F_-_Endodontics.pdf
- Exhibit_F_-_Onlay.pdf
- Exhibit_G_-_Radiographics.pdf
- Exhibit_H_-Bone_Tissue_Excision.pdf
- Exhibit_I_-_Non-Restorable_Tooth.pdf
- Exhibit_L_-_Removable_Prosthodontics.pdf
- Exhibit_M_-_Administration_of_Nitrous_Oxide.pdf
- Exhibit_N_-Orthodontics.pdf
- Exhibit_O_-_General_Anesthesia_and_IV_Sedation.pdf
- Exhibit_P3_-_Mail_Order_Orthodontics.pdf
- Exhibit_T_-_Veneer.pdf
- Exhibit_X_-_Implant.pdf