on covered services (coinsurance  
payment still applies). 
 
Use the HumanaDental Medicare  
network for the Mandatory  
Supplemental Dental. The  
provider locator can be found at  DEN142 
•$0 copay for scaling and root planing (deep cleaning) up to 1per  
quadrant every 3years. 
•$0 copay for comprehensive oral evaluation or periodontal exam,  
occlusal adjustment, scaling for moderate inflammation up to 1  
every 3years. 
•$0 copay for bridges, complete dentures, crown recementation,