Surgic

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Office Service Codes Procedure - Dental XP

dentalxp.com

Surgic removl resid tooth root Vestibuloplasty-ridge ext (inc) Removal of lat exostosis(max or mand) Occlusal orthotic device Osseous, misc.graft auto/nonauto Frenectomy- Seperate Procedure Phase 1 Early Ortho Tx Limited ortho treat, adolescent Limited Ortho Treat, Adult Dent Comprehensive Ortho Adolescent Comprehensive Ortho, Adult Dent

Surgic

Policy & Procedures Manual

www.ab.bluecross.ca

Alberta Health Alberta Aids to Daily Living Medical-Surgical Benefits Policy & Procedures Manual June 21, 2021 Classification: Public

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Surgic