Dental Benefits Schedule

• 10.U0

  Diagnostic Services
• 10.B1

  Preventative Services
• 10.U1

  Preventive Services
• 10.U2

  Periodontics
• 10.U3

  Oral Surgery
• 10.U4

  Endodontics
• 10.U5

  Restorative Services
• 10.U6

  Group U6
• 10.U7

  Prosthodontics
• 10.U8

  Group U8
• 10.U9

  General Services