Dental X-Rays

Policy Number: DP-X-008

Last Updated: Sept. 15, 2022

X-rays should only be submitted in the following situations:  

  • Anterior crowns  
  • Multiple restorations of same teeth  
  • Extensive anterior restorations  
  • Accidents when the services are crowns, root canals, fractures, posterior teeth repair, orthodontic services or implants  
  • Veneers for Procedure Codes 
  • Impactions other than wisdom teeth