| COMPLICATED TOOTH EXTRACTION |
6,000.00 |
| PEDO (TEMPORARY TEETH) |
1,000.00 |
| GINGIVECTOMY(2500 minimum) |
2,500.00 |
| OPERCULECTOMY |
2,500.00 |
| ALVEOLECTOMY |
3,000.00 |
| INTELLICARE SIMPLE TOOTH EXTRACTION |
300.00 |
| INTELLICARE IMPACTED (per tooth) |
2,000.00 |
| ADDITIONAL PAYMENT FOR TOOTH EXTRACTION - INTELLICARE |
900.00 |
| TOOTH EXTRACTION |
1,000.00 |
| VECO Dental Extraction - EMPLOYEES |
500.00 |
| VECO Dental Extraction - Dependents |
450.00 |
| VECO DENTAL -SIMPLE TOOTH EXTRACTION |
450.00 |
| ADDITIONAL PAYMENT ( TOOTH EXTRACTION) |
1,500.00 |
| ADDTIONAL PAYMENT(TOOTH EXTRACTION) |
2,000.00 |
| TOOTH EXTRACTIO0N (PEDO) |
1,000.00 |
| TOOTH EXTRACTION |
1,000.00 |
| HPDAI SIMPLE EXTRACTION |
200.00 |
| HPDAI COMPLICATED EXTRACTION (MINOR SURGICAL EXTRACTION) |
1,000.00 |
| ADDITIONAL PAYMENT FOR TOOTH EXTRACTION - HPDAI |
1,000.00 |
