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Dental Provider Guide
AYS Claims Reconsideration Submission Instructions (PDF)
@yourservice Paperless 2017 (PDF)
Claim Reconsiderations (PDF)
Dental Anesthesia for Children ASC (PDF)
DLV 502 (PDF)
DLV 503 (PDF)
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DLV 517 (PDF)
Embedded Pediatric Dental HMO Breakdown (PDF)
Endodontic Dental Fee Schedule (PDF)
Frequency and Limitation Grid - HPN (PDF)
General Dentistry Copay Grid (PDF)
General Dentistry Dental Fee Schedule (PDF)
HMO Dental Products (PDF)
Medical Prior Auth Form (PDF)
Northern Nevada Fee Schedule (PDF)
Northern Nevada General Dentistry Dental Fee Schedule (PDF)
Oral Surgery Dental Fee Schedule (PDF)
Orthodontic Fee Schedule (PDF)
Pediatric Dental Fee Schedule (PDF)
Periodontic Fee Schedule (PDF)
Specialist Copay Grid (PDF)
