Understanding Your Co-Payment Schedule
To view your complete coverage in an Adobe PDF file, click on one of the Plans below. You will find 7 pages of billing coded procedures for each plan. Each billing coded procedure lists your co-payment to a General Dentist (GD) or a Specialist (Spec). If the procedure is assigned an NPB (Not a Plan Benefit) , it is not a covered procedure, you would pay the Dentist the full amount of that procedure.
GD = General Dentist
Spec = Specialist
NPB = Not a Plan Benefit
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