Covered Dental Services

1. Diagnostic.
   Provides all the necessary procedures to assist the dentist in evaluating the existing condition and the necessary dental treatment. These services include visits and consultations, diagnostic services, and prophylaxis.


2. Oral Surgery.
   Provides for extractions and other oral surgery including pre- and post-operative care. Subject to the exclusions and limitations under the table of contents titled "Self Funded IBEW-NECA Dental Plan.
   


3. Restorative Dentistry.
   Provides amalgam, synthetic porcelain and plastic restorations, gold restorations, crowns and jackets (when teeth cannot be restored with a filling material). However, gold and porcelain restorations, inlays, and crowns are subject to a pre-authorization through the Administrative Office.
   


4. Endodontics.
   Includes necessary pulp capping and root canal therapy.
   


5. Periodontics.
   Includes procedures necessary for the treatment of diseases of gums and bone supporting the teeth.
   


6. Prosthodontics.
   Includes bridges, partial and complete dentures.