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If you use a participating oral surgeon, you may pay $25 for the examination and $40 for the
panoramic x-ray at your initial visit.
You should file a separate claim for these procedures. Payment will be made to the member, based on
the Plan's fee schedule, if the patient is eligible for the service, subject to frequency restrictions (every
6-months for an examination and every two (2) years for a panoramic x-ray).
If you use a participating periodontist, you will pay a $10 per quadrant member co-payment for
periodontal surgery. Co-payments are not reimbursed by the Plan.
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