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doc ico  Dental Source

Dental Source. Dental Health Care Plans. Schedule of Benefits – Plan H ... 2140 Amalgam Permanent, 1 Surface 11.00. Amalgam-Permanent, 2 Surfaces 18.00. Amalgam- Permanent, 3 Surfaces 23.00. ... 5660 Add Clasp To Existing Partial 35.00. 5730 Reline Upper Dentures-Chairside 75.00.
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doc ico  Table Of Contents - michigan.gov

Medical eligibility (and allowable citizenship/permanent residency status) must be established by the department before the beneficiary can enroll in CSHCS. ... Clients who have partial Medicaid coverage (e.g. ESO, Spend down, etc.) are not exempt from having a CSHCS payment agreement based on partial Medicaid coverage.
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