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UnitedHealthcare Dental Utilization Review GuidelineNATIONAL STANDARDIZED DENTAL CLAIM UTILIZATION REVIEW CRITERIA Policy Number: DURG042.01 Table of Contents Page INSTRUCT IONS FOR USE ............................................1

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What is protective restoration of tooth?

Protective restoration of tooth is a dental procedure that involves repairing damaged or decayed teeth with materials such as fillings, crowns, or bonding.

Who is required to file protective restoration of tooth?

Protective restoration of tooth is typically recommended by dentists for patients with dental cavities, fractures, or other damage to their teeth.

How to fill out protective restoration of tooth?

To fill out a protective restoration of tooth, a dentist will perform an examination of the tooth to determine the extent of the damage and recommend the appropriate treatment.

What is the purpose of protective restoration of tooth?

The purpose of protective restoration of tooth is to restore the function and appearance of damaged teeth, prevent further deterioration, and promote oral health.

What information must be reported on protective restoration of tooth?

Information reported on protective restoration of tooth may include the type of restoration performed, materials used, and any post-operative instructions for the patient.

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