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Dental X-Rays
Dental
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