{"aaData": [["1", "
MEDICAL CARE
\n", "
MEDICAL CARE
\n"], ["0", "
BLOOD OR PACKED RED CELLS
\n", "
BLD/PACKED RED CELLS
\n"], ["A", "
USED DME
\n", "
USED DME
\n"], ["F", "
AMBULATORY SURGICAL CENTER
\n", "
AMB. SURG. CENTER
\n"], ["H", "
HOSPICE
\n", "
HOSPICE
\n"], ["L", "
RENAL SUPPLIES IN THE HOME
\n", "
RENAL SUPPLIES/HOME
\n"], ["M", "
ALTERNATE PAYMENT FOR MAINTENANCE DIALYSIS
\n", "
ALT PMT/MNT DIALYSIS
\n"], ["N", "
KIDNEY DONOR
\n", "
KIDNEY DONOR
\n"], ["V", "
PNEUMOCOCCAL VACCINE
\n", "
PNEUMOCOCCAL VACCINE
\n"], ["Y", "
SECOND OPINION ON ELECTIVE SURGERY
\n", "
2ND OPIN/ELECT SURG
\n"], ["Z", "
THIRD OPINION ON ELECTIVE SURGERY
\n", "
3RD OPIN/ELECT SURG
\n"], ["2", "
SURGERY
\n", "
SURGERY
\n"], ["43", "
DIAGNOSTIC X-RAY/PROFESSIONAL COMPONENT
\n", "
DIAG XRAY/PROF CMNT
\n"], ["53", "
DIAGNOSTIC LAB/PROFESSIONAL COMPONENT
\n", "
DIAG LAB/PROF CMNT
\n"], ["23", "
DIAGNOSTIC DENTAL
\n", "
DIAGNOSTIC DENTAL
\n"], ["24", "
PERIODONTICS
\n", "
PERIODONTICS
\n"], ["25", "
RESTORATIVE
\n", "
RESTORATIVE
\n"], ["26", "
ENDODONTICS
\n", "
ENDODONTICS
\n"], ["27", "
MAXILLOFACIAL PROSTHETICS
\n", "
MAXILLOFACIAL PRO
\n"], ["28", "
ADJUNCTIVE DENTAL SERVICES
\n", "
ADJUNCTIVE SERVICES
\n"], ["35", "
DENTAL CARE
\n", "
DENTAL CARE
\n"], ["36", "
DENTAL CROWNS
\n", "
DENTAL CROWNS
\n"], ["3", "
CONSULTATION
\n", "
CONSULTATION
\n"], ["37", "
DENTAL ACCIDENT
\n", "
DENTAL ACCIDENT
\n"], ["38", "
ORTHODONTICS
\n", "
ORTHODONTICS
\n"], ["39", "
PROSTHODONTICS
\n", "
PROSTHODONTICS
\n"], ["40", "
ORAL SURGERY
\n", "
ORAL SURGERY
\n"], ["41", "
PREVENTIVE DENTAL
\n", "
PREVENTIVE DENTAL
\n"], ["E12", "
BASIC RESTORATIVE - DENTAL
\n", "
BASIC RESTORATIVE
\n"], ["E13", "
MAJOR RESTORATIVE - DENTAL
\n", "
MAJOR RESTORATIVE
\n"], ["E14", "
FIXED PROSTHODONTICS
\n", "
FIXED PROSTH
\n"], ["E15", "
REMOVABLE PROSTHODONTICS
\n", "
REMOVABLE PROSTH
\n"], ["E16", "
INTRAORAL IMAGES - COMPLETE SERIES
\n", "
IMAGES - COMPLETE
\n"], ["4", "
DIAGNOSTIC X-RAY
\n", "
DIAGNOSTIC X-RAY
\n"], ["E17", "
ORAL EVALUATION
\n", "
ORAL EVALUATION
\n"], ["E18", "
DENTAL PROPHYLAXIS
\n", "
PROPHYLAXIS
\n"], ["E19", "
PANORAMIC IMAGES
\n", "
PANORAMIC IMAGES
\n"], ["E20", "
SEALANTS
\n", "
SEALANTS
\n"], ["E21", "
FLOURIDE TREATMENTS
\n", "
FLOURIDE
\n"], ["E22", "
DENTAL IMPLANTS
\n", "
DENTAL IMPLANTS
\n"], ["E23", "
TEMPOROMANDIBULAR JOINT DYSFUNCTION
\n", "
JOINT DYSFUNCTION
\n"], ["F3", "
DENTAL COVERAGE
\n", "
DENTAL COVERAGE
\n"], ["F7", "
ORTHODONTIA COVERAGE
\n", "
ORTHODONTIA COVERAGE
\n"], ["5", "
DIAGNOSTIC LABORATORY
\n", "
DIAGNOSTIC LAB
\n"], ["6", "
RADIATION THERAPY
\n", "
RADIATION THERAPY
\n"], ["7", "
ANESTHESIA
\n", "
ANESTHESIA
\n"], ["8", "
ASSISTANCE AT SURGERY
\n", "
SURGERY ASSISTANCE
\n"], ["9", "
OTHER MEDICAL SERVICE
\n", "
OTHER MED SERVICE
\n"]]}