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Dental Clinical Criteria and Documentation …

Dental Clinical Criteria and Documentation

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04-01-2005 3 • All criteria that would qualify a tooth for a ¾ cast crown, full cast crown or onlay would apply to veneers. Crown Repair Written and/or photographic documentation needed for consideration of payment:

  Clinical, Documentation, Criteria, Dental, Needed, Dental clinical criteria and documentation, Documentation needed

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