MMC Benefits Handbook
Dental
  • Dental care except when necessary because of accidental damage to an unrestored tooth. Such services must be performed by a Doctor of Dental Surgery (DDS) or Doctor of Medical Dentistry (DMD). Dental services for final treatment to repair the damage must be started within 12 months of the accident and completed in the calendar year or within the following calendar year.
  • Preventive care, diagnosis, treatment of or related to the teeth, jawbones or gums. Examples include all of the following:
    • Extraction, restoration and replacement of teeth
    • Medical or surgical treatments of dental conditions
    • Services to improve dental clinical outcomes
  • Dental implants, bone grafts, and other implant-related procedures
  • Dental braces (orthodontics)
  • Dental X-rays, supplies and appliances and all associated expenses, including hospitalization and anesthesia. The only exceptions to this are for any of the following:
    • Transplant preparation
    • Initiation of immunosuppressives
    • The direct treatment of acute traumatic injury, cancer or cleft palate
  • Treatment of congenitally missing, malpositioned or super numerary teeth, even if part of a congenital anomaly.
  • Endodontics, periodontal surgery and restorative treatment