Procedure Code Pricing Search

Procedure Code Pricing

Member Information

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Plan Description: {{activeMemberInfo.eligibility.plan.codeDesc }}

Relationship: {{activeMemberInfo.memberRelation.codeDesc | uppercase}}

Product ID: {{activeMemberInfo.eligibility.plan.codeValue}}

Select Dentist & Procedure Code *Indicates a required field

1 Provide a date of service

*Date of Service:

2 Select a Dentist

*Select Dentist:

Note: Only providers who are participating in the network will be displayed.

Select	Last Name	First Name	Primary Address

	{{item.providerName.lastName}}	{{item.providerName.firstName}}	{{item.providerAddress.addressLine1}} {{item.providerAddress.city \| uppercase}}, {{item.providerAddress.state}} {{item.providerAddress.zip5}}

3 Enter Procedure code

*Procedure Code :

Find Procedure Code

4 Finish

Code	Description
{{item.dentalProcedureCode}}	{{item.dentalProcedureCodeDesc}}

Procedure Code Pricing is available on-line for contracted providers only.

Don't miss the opportunity to join a dental program that offers tremendous potential for your practice. If you are interested in becoming a contracted provider, or believe that you have landed on this page in error, please call 1-800-822-5353 for more information.

You can get started by reviewing and completing the applications and forms here:

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