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OTHER SPECIALTY SERVICES Treatments provided by a participating specialist if available, will be at 20% - 25% OFF USUAL, CUSTOMARY, & REGULAR for Endodontics, Pedodontics (children), Prosthodontic, Orthodontics, Periodontics and Oral Surgery. Please discuss your case with the Specialist prior to beginning service ________________________________________________________________ *USUAL CUSTOMARY & REASONABLE FEES WILL VARY IN EACH AREA ** ADDITIONAL CHARGES FOR PRECIOUS METALS ** ADDITIONAL CHARGES FOR LAB FEE (not to exceed $75.00) ________________________________________________________________ "FEE SCHEDULE" AS PERFORMED BY A GENERAL PRACTITIONER ________________________________________________________________
"THIS IS A DISCOUNT PROGRAM," " THIS IS NOT INSURANCE"
PLEASE NOTE THAT SERVICES NOT OUTLINED ARE ON A FEE - FOR - SERVICE BASIS
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