TR-DENTAL (267) RATE SCHEDULE (363)
Name
Value
NAME
TR-DENTAL
RATE TYPE
TRICARE DENTAL
BILL TYPE
OUTPATIENT
BILLABLE SERVICE
OUTPATIENT VISIT
EFFECTIVE DATE
2003-12-19 00:00:00
CHARGE SET
RC-OPT FAC PR 402
AUTO ADD: YES
RC-PHYSICIAN OPT PR 508
AUTO ADD: YES
RC-PHYSICIAN OPT MN 508
AUTO ADD: YES
RC-OPT FAC HR 402
AUTO ADD: YES
RC-OPT FAC ML 402
AUTO ADD: YES
RC-PHYSICIAN OPT PR 402
AUTO ADD: YES
RC-PHYSICIAN OPT MN 402
AUTO ADD: YES
RC-OPT FAC PR 508
AUTO ADD: YES
RC-OPT FAC HR 508
AUTO ADD: YES
RC-OPT FAC ML 508
AUTO ADD: YES
