tooth per lifetime. 
•$0 copay for bitewing x-rays, intraoral x-rays up to 1set(s) per year. 
•$0 copay for adjustments to dentures, denture rebase, denture  
reline, denture repair, emergency diagnostic exam, tissue  
conditioning up to 1per year. 
•$0 copay for emergency treatment for pain, fluoride treatment, oral  
surgery, periodic oral exam, prophylaxis (cleaning) up to 2per year. 
•$0 copay for periodontal maintenance up to 4per year. 
•$0 copay for amalgam and/or composite filling, necessary