"PROC CODE","PROCEDURE DESCRIPTION","PROC TYPE","TYPE DESC","PROC BEG","PROC END","MIN AGE","MAX AGE","SEX ","PA TYPE","PA BEG","PA END","REG TYPE","REG DESC","INP OUT","MAX RATE","EFF DATE","END DATE","FLAG CDE 1","IND 1","BEG DTE 1","END DTE 1","FLAG CDE 2","IND 2","BEG DTE 2","END DTE 2","FLAG CDE 3","IND 3","BEG DTE 3","END DTE 3","FLAG CDE 4","IND 4","BEG DTE 4","END DTE 4","FLAG CDE 5","IND 5","BEG DTE 5","END DTE 5","FLAG CDE 6","IND 6","BEG DTE 6","END DTE 6","FLAG CDE 7","IND 7","BEG DTE 7","END DTE 7","FLAG CDE 8","IND 8","BEG DTE 8","END DTE 8","FLAG CDE 9","IND 9","BEG DTE 9","END DTE 9","FLAG CDE10","IND10","BEG DTE10","END DTE10" "D0120 ","PERIODIC ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000020.15","07/01/2005","12/31/9999","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0120 ","PERIODIC ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000013.16","06/20/2003","06/30/2005","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0120 ","PERIODIC ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000020.15","07/01/2005","12/31/9999","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0120 ","PERIODIC ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000013.16","06/20/2003","06/30/2005","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0120 ","PERIODIC ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000020.15","07/01/2005","12/31/9999","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0120 ","PERIODIC ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000013.16","06/20/2003","06/30/2005","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0120 ","PERIODIC ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000020.15","07/01/2005","12/31/9999","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0120 ","PERIODIC ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000013.16","06/20/2003","06/30/2005","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0120 ","PERIODIC ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000020.15","07/01/2005","12/31/9999","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0120 ","PERIODIC ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000013.16","06/20/2003","06/30/2005","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0120 ","PERIODIC ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000020.15","07/01/2005","12/31/9999","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0120 ","PERIODIC ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000013.16","06/20/2003","06/30/2005","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0120 ","PERIODIC ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000020.15","07/01/2005","12/31/9999","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0120 ","PERIODIC ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000013.16","06/20/2003","06/30/2005","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0140 ","LIMITED ORAL EVALUATION - PROBLEM F","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000024.83","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0140 ","LIMITED ORAL EVALUATION - PROBLEM F","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000020.24","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0140 ","LIMITED ORAL EVALUATION - PROBLEM F","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000024.83","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0140 ","LIMITED ORAL EVALUATION - PROBLEM F","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000020.24","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0140 ","LIMITED ORAL EVALUATION - PROBLEM F","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000024.83","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0140 ","LIMITED ORAL EVALUATION - PROBLEM F","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000020.24","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0140 ","LIMITED ORAL EVALUATION - PROBLEM F","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000024.83","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0140 ","LIMITED ORAL EVALUATION - PROBLEM F","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000020.24","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0140 ","LIMITED ORAL EVALUATION - PROBLEM F","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000024.83","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0140 ","LIMITED ORAL EVALUATION - PROBLEM F","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000020.24","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0140 ","LIMITED ORAL EVALUATION - PROBLEM F","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000024.83","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0140 ","LIMITED ORAL EVALUATION - PROBLEM F","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000020.24","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0140 ","LIMITED ORAL EVALUATION - PROBLEM F","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000024.83","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0140 ","LIMITED ORAL EVALUATION - PROBLEM F","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000020.24","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0145 ","ORAL EVAL/COUNSELING UNDER AGE ","0","DENTAL ","01/01/2007","12/31/9999","000","003"," "," "," "," ","DEN ","GEO AREA 1 ","OP","000020.15","01/01/2007","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0145 ","ORAL EVAL/COUNSELING UNDER AGE ","0","DENTAL ","01/01/2007","12/31/9999","000","003"," "," "," "," ","DEN ","GEO AREA 2 ","OP","000020.15","01/01/2007","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0145 ","ORAL EVAL/COUNSELING UNDER AGE ","0","DENTAL ","01/01/2007","12/31/9999","000","003"," "," "," "," ","DEN ","GEO AREA 3 ","OP","000020.15","01/01/2007","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0145 ","ORAL EVAL/COUNSELING UNDER AGE ","0","DENTAL ","01/01/2007","12/31/9999","000","003"," "," "," "," ","DEN ","GEO AREA 4 ","OP","000020.15","01/01/2007","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0145 ","ORAL EVAL/COUNSELING UNDER AGE ","0","DENTAL ","01/01/2007","12/31/9999","000","003"," "," "," "," ","DEN ","GEO AREA 5 ","OP","000020.15","01/01/2007","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0145 ","ORAL EVAL/COUNSELING UNDER AGE ","0","DENTAL ","01/01/2007","12/31/9999","000","003"," "," "," "," ","DEN ","GEO AREA 6 ","OP","000020.15","01/01/2007","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0145 ","ORAL EVAL/COUNSELING UNDER AGE ","0","DENTAL ","01/01/2007","12/31/9999","000","003"," "," "," "," ","DEN ","REST OF STATE ","OP","000020.15","01/01/2007","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0150 ","COMPREHENSIVE ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000031.31","07/01/2005","12/31/9999","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0150 ","COMPREHENSIVE ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000022.26","06/20/2003","06/30/2005","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0150 ","COMPREHENSIVE ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000031.31","07/01/2005","12/31/9999","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0150 ","COMPREHENSIVE ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000022.26","06/20/2003","06/30/2005","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0150 ","COMPREHENSIVE ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000031.31","07/01/2005","12/31/9999","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0150 ","COMPREHENSIVE ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000022.26","06/20/2003","06/30/2005","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0150 ","COMPREHENSIVE ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000031.31","07/01/2005","12/31/9999","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0150 ","COMPREHENSIVE ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000022.26","06/20/2003","06/30/2005","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0150 ","COMPREHENSIVE ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000031.31","07/01/2005","12/31/9999","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0150 ","COMPREHENSIVE ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000022.26","06/20/2003","06/30/2005","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0150 ","COMPREHENSIVE ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000031.31","07/01/2005","12/31/9999","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0150 ","COMPREHENSIVE ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000022.26","06/20/2003","06/30/2005","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0150 ","COMPREHENSIVE ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000031.31","07/01/2005","12/31/9999","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0150 ","COMPREHENSIVE ORAL EVALUATION ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000022.26","06/20/2003","06/30/2005","CV "," ","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0160 ","DETAILED & EXTENSIVE ORAL EVAL ","0","DENTAL ","07/01/2005","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 1 ","OP","000031.31","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0160 ","DETAILED & EXTENSIVE ORAL EVAL ","0","DENTAL ","07/01/2005","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 2 ","OP","000031.31","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0160 ","DETAILED & EXTENSIVE ORAL EVAL ","0","DENTAL ","07/01/2005","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 3 ","OP","000031.31","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0160 ","DETAILED & EXTENSIVE ORAL EVAL ","0","DENTAL ","07/01/2005","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 4 ","OP","000031.31","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0160 ","DETAILED & EXTENSIVE ORAL EVAL ","0","DENTAL ","07/01/2005","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 5 ","OP","000031.31","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0160 ","DETAILED & EXTENSIVE ORAL EVAL ","0","DENTAL ","07/01/2005","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 6 ","OP","000031.31","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0160 ","DETAILED & EXTENSIVE ORAL EVAL ","0","DENTAL ","07/01/2005","12/31/9999","000","020"," "," "," "," ","DEN ","REST OF STATE ","OP","000031.31","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0170 ","RE-EVALUATION - LIMITED ","0","DENTAL ","07/01/2005","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 1 ","OP","000024.83","07/01/2005","12/31/9999","999","S","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0170 ","RE-EVALUATION - LIMITED ","0","DENTAL ","07/01/2005","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 2 ","OP","000024.83","07/01/2005","12/31/9999","999","S","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0170 ","RE-EVALUATION - LIMITED ","0","DENTAL ","07/01/2005","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 3 ","OP","000024.83","07/01/2005","12/31/9999","999","S","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0170 ","RE-EVALUATION - LIMITED ","0","DENTAL ","07/01/2005","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 4 ","OP","000024.83","07/01/2005","12/31/9999","999","S","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0170 ","RE-EVALUATION - LIMITED ","0","DENTAL ","07/01/2005","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 5 ","OP","000024.83","07/01/2005","12/31/9999","999","S","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0170 ","RE-EVALUATION - LIMITED ","0","DENTAL ","07/01/2005","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 6 ","OP","000024.83","07/01/2005","12/31/9999","999","S","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0170 ","RE-EVALUATION - LIMITED ","0","DENTAL ","07/01/2005","12/31/9999","000","020"," "," "," "," ","DEN ","REST OF STATE ","OP","000024.83","07/01/2005","12/31/9999","999","S","06/20/2003","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0180 ","COMPREHENSIVE PERIODONTAL EVAL ","0","DENTAL ","07/01/2005","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 1 ","OP","000031.31","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0180 ","COMPREHENSIVE PERIODONTAL EVAL ","0","DENTAL ","07/01/2005","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 2 ","OP","000031.31","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0180 ","COMPREHENSIVE PERIODONTAL EVAL ","0","DENTAL ","07/01/2005","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 3 ","OP","000031.31","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0180 ","COMPREHENSIVE PERIODONTAL EVAL ","0","DENTAL ","07/01/2005","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 4 ","OP","000031.31","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0180 ","COMPREHENSIVE PERIODONTAL EVAL ","0","DENTAL ","07/01/2005","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 5 ","OP","000031.31","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0180 ","COMPREHENSIVE PERIODONTAL EVAL ","0","DENTAL ","07/01/2005","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 6 ","OP","000031.31","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0180 ","COMPREHENSIVE PERIODONTAL EVAL ","0","DENTAL ","07/01/2005","12/31/9999","000","020"," "," "," "," ","DEN ","REST OF STATE ","OP","000031.31","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0210 ","INTRAORAL - COMPLETE SERIES (I ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000071.91","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0210 ","INTRAORAL - COMPLETE SERIES (I ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000046.38","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0210 ","INTRAORAL - COMPLETE SERIES (I ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000071.91","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0210 ","INTRAORAL - COMPLETE SERIES (I ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000046.38","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0210 ","INTRAORAL - COMPLETE SERIES (I ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000071.91","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0210 ","INTRAORAL - COMPLETE SERIES (I ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000046.38","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0210 ","INTRAORAL - COMPLETE SERIES (I ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000071.91","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0210 ","INTRAORAL - COMPLETE SERIES (I ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000046.38","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0210 ","INTRAORAL - COMPLETE SERIES (I ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000071.91","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0210 ","INTRAORAL - COMPLETE SERIES (I ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000046.38","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0210 ","INTRAORAL - COMPLETE SERIES (I ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000071.91","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0210 ","INTRAORAL - COMPLETE SERIES (I ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000046.38","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0210 ","INTRAORAL - COMPLETE SERIES (I ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000071.91","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0210 ","INTRAORAL - COMPLETE SERIES (I ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000046.38","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0220 ","INTRAORAL - PERIAPICAL FIRST F ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000011.18","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0220 ","INTRAORAL - PERIAPICAL FIRST F ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000009.11","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0220 ","INTRAORAL - PERIAPICAL FIRST F ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000011.18","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0220 ","INTRAORAL - PERIAPICAL FIRST F ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000009.11","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0220 ","INTRAORAL - PERIAPICAL FIRST F ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000011.18","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0220 ","INTRAORAL - PERIAPICAL FIRST F ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000009.11","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0220 ","INTRAORAL - PERIAPICAL FIRST F ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000011.18","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0220 ","INTRAORAL - PERIAPICAL FIRST F ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000009.11","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0220 ","INTRAORAL - PERIAPICAL FIRST F ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000011.18","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0220 ","INTRAORAL - PERIAPICAL FIRST F ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000009.11","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0220 ","INTRAORAL - PERIAPICAL FIRST F ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000011.18","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0220 ","INTRAORAL - PERIAPICAL FIRST F ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000009.11","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0220 ","INTRAORAL - PERIAPICAL FIRST F ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000011.18","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0220 ","INTRAORAL - PERIAPICAL FIRST F ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000009.11","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0230 ","INTRAORAL - PERIAPICAL, EACH ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000011.18","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0230 ","INTRAORAL - PERIAPICAL, EACH ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000009.11","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0230 ","INTRAORAL - PERIAPICAL, EACH ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000011.18","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0230 ","INTRAORAL - PERIAPICAL, EACH ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000009.11","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0230 ","INTRAORAL - PERIAPICAL, EACH ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000011.18","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0230 ","INTRAORAL - PERIAPICAL, EACH ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000009.11","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0230 ","INTRAORAL - PERIAPICAL, EACH ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000011.18","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0230 ","INTRAORAL - PERIAPICAL, EACH ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000009.11","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0230 ","INTRAORAL - PERIAPICAL, EACH ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000011.18","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0230 ","INTRAORAL - PERIAPICAL, EACH ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000009.11","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0230 ","INTRAORAL - PERIAPICAL, EACH ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000011.18","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0230 ","INTRAORAL - PERIAPICAL, EACH ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000009.11","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0230 ","INTRAORAL - PERIAPICAL, EACH ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000011.18","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0230 ","INTRAORAL - PERIAPICAL, EACH ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000009.11","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0240 ","INTRAORAL - OCCLUSAL FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","01/01/2004","12/31/9999","DEN ","GEO AREA 1 ","OP","000012.27","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0240 ","INTRAORAL - OCCLUSAL FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","01/01/2004","12/31/9999","DEN ","GEO AREA 1 ","OP","000010.00","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0240 ","INTRAORAL - OCCLUSAL FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","01/01/2004","12/31/9999","DEN ","GEO AREA 2 ","OP","000012.27","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0240 ","INTRAORAL - OCCLUSAL FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","01/01/2004","12/31/9999","DEN ","GEO AREA 2 ","OP","000010.00","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0240 ","INTRAORAL - OCCLUSAL FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","01/01/2004","12/31/9999","DEN ","GEO AREA 3 ","OP","000012.27","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0240 ","INTRAORAL - OCCLUSAL FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","01/01/2004","12/31/9999","DEN ","GEO AREA 3 ","OP","000010.00","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0240 ","INTRAORAL - OCCLUSAL FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","01/01/2004","12/31/9999","DEN ","GEO AREA 4 ","OP","000012.27","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0240 ","INTRAORAL - OCCLUSAL FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","01/01/2004","12/31/9999","DEN ","GEO AREA 4 ","OP","000010.00","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0240 ","INTRAORAL - OCCLUSAL FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","01/01/2004","12/31/9999","DEN ","GEO AREA 5 ","OP","000012.27","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0240 ","INTRAORAL - OCCLUSAL FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","01/01/2004","12/31/9999","DEN ","GEO AREA 5 ","OP","000010.00","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0240 ","INTRAORAL - OCCLUSAL FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","01/01/2004","12/31/9999","DEN ","GEO AREA 6 ","OP","000012.27","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0240 ","INTRAORAL - OCCLUSAL FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","01/01/2004","12/31/9999","DEN ","GEO AREA 6 ","OP","000010.00","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0240 ","INTRAORAL - OCCLUSAL FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","01/01/2004","12/31/9999","DEN ","REST OF STATE ","OP","000012.27","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0240 ","INTRAORAL - OCCLUSAL FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","01/01/2004","12/31/9999","DEN ","REST OF STATE ","OP","000010.00","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0250 ","EXTRAORAL - FIRST FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000047.19","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0250 ","EXTRAORAL - FIRST FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000038.46","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0250 ","EXTRAORAL - FIRST FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000047.19","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0250 ","EXTRAORAL - FIRST FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000038.46","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0250 ","EXTRAORAL - FIRST FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000047.19","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0250 ","EXTRAORAL - FIRST FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000038.46","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0250 ","EXTRAORAL - FIRST FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000047.19","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0250 ","EXTRAORAL - FIRST FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000038.46","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0250 ","EXTRAORAL - FIRST FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000047.19","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0250 ","EXTRAORAL - FIRST FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000038.46","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0250 ","EXTRAORAL - FIRST FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000047.19","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0250 ","EXTRAORAL - FIRST FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000038.46","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0250 ","EXTRAORAL - FIRST FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000047.19","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0250 ","EXTRAORAL - FIRST FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000038.46","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0260 ","EXTRAORAL FILE, ADDITIONAL ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000042.94","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0260 ","EXTRAORAL FILE, ADDITIONAL ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000035.00","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0260 ","EXTRAORAL FILE, ADDITIONAL ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000042.94","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0260 ","EXTRAORAL FILE, ADDITIONAL ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000035.00","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0260 ","EXTRAORAL FILE, ADDITIONAL ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000042.94","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0260 ","EXTRAORAL FILE, ADDITIONAL ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000035.00","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0260 ","EXTRAORAL FILE, ADDITIONAL ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000042.94","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0260 ","EXTRAORAL FILE, ADDITIONAL ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000035.00","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0260 ","EXTRAORAL FILE, ADDITIONAL ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000042.94","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0260 ","EXTRAORAL FILE, ADDITIONAL ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000035.00","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0260 ","EXTRAORAL FILE, ADDITIONAL ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000042.94","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0260 ","EXTRAORAL FILE, ADDITIONAL ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000035.00","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0260 ","EXTRAORAL FILE, ADDITIONAL ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000042.94","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0260 ","EXTRAORAL FILE, ADDITIONAL ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000035.00","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0270 ","BITEWING, SINGLE FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000011.18","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0270 ","BITEWING, SINGLE FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000009.11","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0270 ","BITEWING, SINGLE FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000011.18","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0270 ","BITEWING, SINGLE FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000009.11","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0270 ","BITEWING, SINGLE FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000011.18","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0270 ","BITEWING, SINGLE FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000009.11","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0270 ","BITEWING, SINGLE FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000011.18","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0270 ","BITEWING, SINGLE FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000009.11","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0270 ","BITEWING, SINGLE FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000011.18","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0270 ","BITEWING, SINGLE FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000009.11","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0270 ","BITEWING, SINGLE FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000011.18","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0270 ","BITEWING, SINGLE FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000009.11","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0270 ","BITEWING, SINGLE FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000011.18","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0270 ","BITEWING, SINGLE FILM ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","00","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000009.11","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0272 ","BITEWINGS - TWO FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000020.15","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0272 ","BITEWINGS - TWO FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000013.16","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0272 ","BITEWINGS - TWO FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000020.15","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0272 ","BITEWINGS - TWO FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000013.16","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0272 ","BITEWINGS - TWO FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000020.15","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0272 ","BITEWINGS - TWO FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000013.16","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0272 ","BITEWINGS - TWO FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000020.15","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0272 ","BITEWINGS - TWO FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000013.16","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0272 ","BITEWINGS - TWO FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000020.15","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0272 ","BITEWINGS - TWO FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000013.16","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0272 ","BITEWINGS - TWO FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000020.15","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0272 ","BITEWINGS - TWO FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000013.16","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0272 ","BITEWINGS - TWO FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000020.15","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0272 ","BITEWINGS - TWO FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000013.16","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0273 ","BITEWINGS 3 FILMS ","0","DENTAL ","01/01/2007","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 1 ","OP","000024.00","01/01/2007","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0273 ","BITEWINGS 3 FILMS ","0","DENTAL ","01/01/2007","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 2 ","OP","000024.00","01/01/2007","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0273 ","BITEWINGS 3 FILMS ","0","DENTAL ","01/01/2007","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 3 ","OP","000024.00","01/01/2007","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0273 ","BITEWINGS 3 FILMS ","0","DENTAL ","01/01/2007","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 4 ","OP","000024.00","01/01/2007","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0273 ","BITEWINGS 3 FILMS ","0","DENTAL ","01/01/2007","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 5 ","OP","000024.00","01/01/2007","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0273 ","BITEWINGS 3 FILMS ","0","DENTAL ","01/01/2007","12/31/9999","000","020"," "," "," "," ","DEN ","GEO AREA 6 ","OP","000024.00","01/01/2007","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0273 ","BITEWINGS 3 FILMS ","0","DENTAL ","01/01/2007","12/31/9999","000","020"," "," "," "," ","DEN ","REST OF STATE ","OP","000024.00","01/01/2007","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0274 ","BITEWINGS - FOUR FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000027.60","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0274 ","BITEWINGS - FOUR FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000000.00","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0274 ","BITEWINGS - FOUR FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000027.60","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0274 ","BITEWINGS - FOUR FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000000.00","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0274 ","BITEWINGS - FOUR FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000027.60","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0274 ","BITEWINGS - FOUR FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000000.00","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0274 ","BITEWINGS - FOUR FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000027.60","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0274 ","BITEWINGS - FOUR FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000000.00","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0274 ","BITEWINGS - FOUR FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000027.60","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0274 ","BITEWINGS - FOUR FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000000.00","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0274 ","BITEWINGS - FOUR FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000027.60","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0274 ","BITEWINGS - FOUR FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000000.00","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0274 ","BITEWINGS - FOUR FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000027.60","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0274 ","BITEWINGS - FOUR FILMS ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","00","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000019.23","06/20/2003","06/30/2005"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0310 ","SIALOGRAPHY ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","01","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000000.00","06/20/2003","12/31/9999","999","S","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0310 ","SIALOGRAPHY ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","01","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000000.00","06/20/2003","12/31/9999","999","S","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0310 ","SIALOGRAPHY ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","01","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000000.00","06/20/2003","12/31/9999","999","S","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0310 ","SIALOGRAPHY ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","01","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000000.00","06/20/2003","12/31/9999","999","S","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0310 ","SIALOGRAPHY ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","01","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000000.00","06/20/2003","12/31/9999","999","S","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0310 ","SIALOGRAPHY ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","01","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000000.00","06/20/2003","12/31/9999","999","S","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0310 ","SIALOGRAPHY ","0","DENTAL ","06/20/2003","12/31/9999","000","020"," ","01","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000031.90","06/20/2003","12/31/9999","999","S","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0320 ","TEMPOROMANDIBULAR JOINT ARTHRO ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","01","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000000.00","06/20/2003","12/31/9999","999","S","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0320 ","TEMPOROMANDIBULAR JOINT ARTHRO ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","01","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000000.00","06/20/2003","12/31/9999","999","S","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0320 ","TEMPOROMANDIBULAR JOINT ARTHRO ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","01","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000000.00","06/20/2003","12/31/9999","999","S","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0320 ","TEMPOROMANDIBULAR JOINT ARTHRO ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","01","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000000.00","06/20/2003","12/31/9999","999","S","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0320 ","TEMPOROMANDIBULAR JOINT ARTHRO ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","01","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000000.00","06/20/2003","12/31/9999","999","S","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0320 ","TEMPOROMANDIBULAR JOINT ARTHRO ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","01","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000000.00","06/20/2003","12/31/9999","999","S","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0320 ","TEMPOROMANDIBULAR JOINT ARTHRO ","0","DENTAL ","06/20/2003","12/31/9999","000","999"," ","01","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000031.90","06/20/2003","12/31/9999","999","S","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0321 ","OTHER TMJ FILM ","0","DENTAL ","06/20/2003","12/31/9999","003","999"," ","01","06/20/2003","12/31/9999","DEN ","GEO AREA 1 ","OP","000040.00","06/20/2003","12/31/9999","999","S","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0321 ","OTHER TMJ FILM ","0","DENTAL ","06/20/2003","12/31/9999","003","999"," ","01","06/20/2003","12/31/9999","DEN ","GEO AREA 2 ","OP","000040.00","06/20/2003","12/31/9999","999","S","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0321 ","OTHER TMJ FILM ","0","DENTAL ","06/20/2003","12/31/9999","003","999"," ","01","06/20/2003","12/31/9999","DEN ","GEO AREA 3 ","OP","000040.00","06/20/2003","12/31/9999","999","S","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0321 ","OTHER TMJ FILM ","0","DENTAL ","06/20/2003","12/31/9999","003","999"," ","01","06/20/2003","12/31/9999","DEN ","GEO AREA 4 ","OP","000040.00","06/20/2003","12/31/9999","999","S","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0321 ","OTHER TMJ FILM ","0","DENTAL ","06/20/2003","12/31/9999","003","999"," ","01","06/20/2003","12/31/9999","DEN ","GEO AREA 5 ","OP","000040.00","06/20/2003","12/31/9999","999","S","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0321 ","OTHER TMJ FILM ","0","DENTAL ","06/20/2003","12/31/9999","003","999"," ","01","06/20/2003","12/31/9999","DEN ","GEO AREA 6 ","OP","000040.00","06/20/2003","12/31/9999","999","S","07/01/2005","12/31/9999"," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "," " "D0321 ","OTHER TMJ FILM ","0","DENTAL ","06/20/2003","12/31/9999","003","999"," ","01","06/20/2003","12/31/9999","DEN ","REST OF STATE ","OP","000040.00","06/20/2003",