Basic Dental Services (Minor Restorative) 
Amalgam restorations (silver 
fillings) 
Composite resin restorations 
(white fillings) 50% 
50% 55% 
55% Two per year 
Extractions (pulling teeth), simple 
or surgical 50% 55% Unlimited per year 
Recementation –Crown 50% 55% One procedure every five years 
Recementation –Bridge 50% 55% One procedure every five years 
Emergency treatment for pain 50% 55% Two per year 
Anesthesia 0% 50% Unlimited per calendar year