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Dental Fee Schedule 2017

 Miami-Dade County

Medica HealthCare Plans MedicareMax (HMO)

Preventive Dental Services:

Routine preventive office visits include:

  • Periodic oral exams; 2 per year
  • Routine cleanings once every 6 months
  • Routine complete X-ray series every year
  • Topical Application of Fluoride once a year

Broward County

Medica HealthCare Plans MedicareMax (HMO)

Preventive Dental Services:

Routine preventive office visits include:

  • Periodic oral exams; 2 per year
  • Routine cleanings once every 6 months
  • Routine complete X-ray series every year
  • Topical Application of Fluoride once a year

 Miami-Dade and Broward Counties

Medica HealthCare Plans MedicareMax Plus (HMO SNP)

Comprehensive dental services are covered. For a complete list of services and copays, please contact the plan.

Routine preventive office visits include:

  • Periodic oral exams; 2 per year
  • Routine cleanings once every 6 months
  • Routine complete X-ray series every year
  • Topical Application of Fluoride once a year

Limitations, restrictions and copayments for preventive and comprehensive dental services may vary. Contact Customer Service for details.