Union Contract Local 2, OPEIU - WMATA.com

Diagnostic – Procedures to assist dentists to evaluate existingconditions and dental care required – to include visits, exams,diagnoses and x-rays (exams and bitewing x-rays twice in acalendar year).Preventive – Prophylaxis (cleaning twice in a calendar year),fluoride treatments (to age 19, once in a calendar year), spacemaintainers sealants (to age 14, once in any 36-month periodon unfilled permanent first and second molars). Periodontalprophylaxes following periodontic surgery are benefitted withno frequency limitations.Basic Restorative – Amalgam (“silver”) and composite(“white” non-molar) fillings.Major Restorative – Crowns, inlays, onlays are benefitedwhere above materials are not adequate.Endodontics – Procedures for pulpal therapy and root canalfilling.Periodontics – Surgical and non-surgical procedures for treatmentof gums and supporting structures of teeth.Prosthodontics – Procedures for construction or repair offixed bridges, partial or complete dentures.Orthodontics – Procedures for straightening teeth. (This benefitis for eligible dependent children to the end of the monththey attain age 19) including harmful habit appliances.Denture Repair & Relining – Repair and relining of existingdentures.Simple Extraction – Routine removal of teethBridge Recementation – Recementation of existing bridgework.Complete Denture Adjustments – Adjustments to denturesOral Surgery – services are not covered under WMATA’s DentalPlan; however, they are covered under the CIGNA MedicalPlan. For participants in the HMO Medical Plans (Kaiser and77