Preventive Benefit Group 1 services - Children Under Age 13 Member for 8 years 1 month Submitted by Site Factory admin on Mon, 01/27/2025 - 14:32 Service Benefit Category Id 12909
Beneficio preventivo, servicios para grupo 1 - Niños menores de 13 años Member for 8 years 1 month Submitted by Site Factory admin on Mon, 01/27/2025 - 14:32 Service Benefit Category Id 12909
Preventive Benefit Group 1 services - Other Members Member for 8 years 1 month Submitted by Site Factory admin on Mon, 01/27/2025 - 14:32 Service Benefit Category Id 12910
Beneficio preventivo, servicios para grupo 1 - Otros miembros Member for 8 years 1 month Submitted by Site Factory admin on Mon, 01/27/2025 - 14:32 Service Benefit Category Id 12910
13477 Member for 8 years 1 month Submitted by Site Factory admin on Mon, 02/10/2025 - 14:21 Space maintainers required due to premature loss of teeth for members under age 14.
13477 Member for 8 years 1 month Submitted by Site Factory admin on Mon, 02/10/2025 - 14:21 Se requieren espaciadores debido a la pérdida prematura de los dientes para miembros menores de 14 años.
0116 ROOM & BOARD - PRIVATE (ONE BED) - DETOXIFICATION ROOM & BOARD - PRIVATE (ONE BED) - DETOXIFICATION
0118 ROOM & BOARD - PRIVATE (ONE BED) - REHABILITATION ROOM & BOARD - PRIVATE (ONE BED) - REHABILITATION
0126 ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - DETOXIFICATION ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - DETOXIFICATION
0128 ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - REHABILITATION ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - REHABILITATION