CDT CHART
WHAT IS THE COVEREAGE AND LIMITATION FOR
D4268 AND WHAT CATEGORY - FED VIP
Subject to Review, Perio charting, xrays and narratative - C-MAJOR
WHAT IS THE DISCRIPTION FOR REMARK CODE 08
The age limitation for this procedure has been exceeded - see list of Covered Dental Expenses.
WHAT TYPE OF PLAN IS MBR G52041370- VALENTINE ON
FEDVIP
WHAT TAB CAN YOU FIND 2026 CDT CHART
ATTACHMENTS
WHERE CAN YOU FIND DENTAL ACCUMS ON CPS
CHANGE DENTAL
ARE THERE ALT BENEFITS FOR D2520 - CD PLUS
YES-
Alt to D2150 on 1-5, 12-21, 28-32.
Alt to D2331 on 6-11, 22-27.
What 3 pieces of information should you gather if MBR/PRV doesnt have the claim number?
Date of Service, Dollar Amount, Provider Name
FOR MBR G52041370 VALENTINE - WHEN WAS THE LAST TIME FILLINGS WAS USED
02/11/2026
FOR MBR G45476387 -WILSON, WHAT ARE THE FREQUENCY FOR Dentures
1x5years
FOR MBR G52041370 LINDSAY/ QUESTION 1: UNDER THE MED TAB IN DPDP, HOW IS ORAL SURG COVERG UNDER DENTAL PLAN/ QUESTION 2: HOW IS ACCIDENTS COVERED?
ORAL SURG: 7220-7241 - Medical Prime and Dental Secondary (Does not include FEHB Limited Dental plans.) Covered Persons must submit documentation showing proof of medical necessity.
ACCIDENT: Covered under Medical if there is accidental dental coverage. Accidental dental injury services are covered at 100% for services/charges incurred within 48hrs of the accident. Services incurred after 48 hours are paid at regular plan benefits.
WHAT CATEGORY DOES D4277 FALL INTO - FED VIP
C-MAJOR
WHAT IS THE RECEIVED DATE FOR 26022297308
RCVD 01/22/26
WHAT ARE THE MAJOR BENEFITS FOR MBR G46269461
50% INN/ 40% OON Based on Plan Allowance/ DED $50 Basic/$100 Major/ ANN MAX $1200 FOR IN AND OON
IS TMJ COVERED UNDER DENTAL - G45476387 MBR WILSON
NO
FOR MBR G52041370 LINDSAY FOR DOS 01/09/26, WHAT DOES PTE MEAN?
Pre-treatment estimate
WHAT ARE THE COVERAGE AND LIMITATIONS FOR D2931- CD PLUS
NOT COVERED
TIMELY FOR DENTAL
December 31st of the year following the year services were rendered. (Grace period of 10 additional days past 12/31 as an exception.)
FOR MBR G46198540- WHAT IS THE LIFE TIME MAX FOR ORTHO
$2500 INN/ $1500 OON
WHAT TAB IN DPDP CAN YOU FIND MISSING TOOTH COVERAGE?
GENERAL PROVISIONS
FOR MBR G45700132 MATTHEM/ IS ORTHO COVERED FOR THIS MBR? IF SO, HOW IS IT COVERED? IS COSMETIC ORTHO COVERED?
Dep. Children./70% Based on Plan Allowance/ LIFETIME MAX 3500 IN AND OON
WHAT ARE THE COVERAGE AND LIMITATIONS FOR D2140- FED VIP
Limited to one restoration per tooth surface, every 2 calendar years
WHAT IS THE DISCRIPTION FOR REMARK CODE 12
Orthodontic procedures are not covered by this plan - see General Exclusions
FOR MBR G46198540 WHAT ARE THE BASIC BENEFITS FOR THIS MBR PLAN
55% INN/50% OON Based on Plan Allowance/ NO IN-NETWORD DED/ $75 OON DED/ ANN MAX $2500 INN/$2000 OON
WAHT ARE THE NETWORKS AND CATEGORIES FOR GEHA DENTAL
NETWORKS FOR PLANS: Connection Dental Network, Careington, or DenteMax
CATEGORIES FOR DENTAL: Preventive and Diagnostic, BASIC, MAJOR, & ORTHO
LIST SOME OF THE DENTAL ADVOCACYS
teledentistry.com/ GEHA PORTAL/ GEHA dental plan (Vision, teeth whitening, electric toothbrush, hearing aid, and medical alert system discounts.)/ annual exam/cleaning/ Reminder of disease management - periodontal maintenance for those with history of SRP and Perio Surgery.