Clinical Criteria Information

Last Updated June 10, 2025

Clinical Criteria InformationPatrick Lighthall2026-06-01T11:26:55-04:00

Clinical Criteria

Below are the clinical criteria requirements for our members and providers to review.

Anesthesia Criteria

Bridge Criteria

Core Buildup Criteria

Crown Criteria

Endo Criteria

Implant Criteria

Perio Surgery Criteria

SRP Criteria

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Clinical Criteria Information