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 
Major Dental Services (Endodontics, Periodontics, and Oral Surgery) 
Root canal treatment 70% 75% One per year 
Crowns 70% 75% Two per year 
Periodontal scaling and root 
planing (deep cleaning) 70 % 75 %One procedure for each quadrant 
per year 
Scaling –generalized 
inflammation  70 % 75 % One procedure per year  
Complete dentures (including