Attachment O- Dental Volumes by Station- Dental Network.xlsx

XLSX spreadsheet 9 MB Posted Dec 15, 2025

Attached to: Q503--CCN Next Gen - Dental Network
Solicitation number: 36C10G26R0004
Issued by: Department of Veterans Affairs Headquarters

View the file

Other files

File	Type	Posted
36C10G26R0004 CCN Next Gen - Dental Network Conformed Copy 03272026.pdf	PDF	Mar 27, 2026
Attachment 3 - CCN Next Gen - Dental Network Pricing Template v3.xlsx	XLSX spreadsheet	Mar 27, 2026
36C10G26R0004 0014 CCN Next Gen - Dental Network Amendment.pdf	PDF	Mar 27, 2026
36C10G26R0004 0013 CCN Next Gen - Dental Network Amendment.pdf	PDF	Mar 23, 2026
Attachment 3 - CCN Next Gen Dental Network Pricing Template.xlsx	XLSX spreadsheet	Mar 23, 2026
36C10G26R0004 Next Gen Dental Network_Conformed Copy_03232026.pdf	PDF	Mar 23, 2026
36C10G26R0004 0012 CCN Next Gen - Dental Network Amendment.pdf	PDF	Mar 20, 2026
36C10G26R0004 Next Gen Dental Network_Conformed Copy.pdf	PDF	Mar 20, 2026
Attachment 3 - CCN Next Gen Dental Network Pricing Template v2.xlsx	XLSX spreadsheet	Mar 20, 2026
36C10G26R0004 0011 CCN Next Gen - Dental Network Amendment.pdf	PDF	Mar 13, 2026
Attachment 1 - CCN Next Gen Dental Network PWS_03_13_26 v4.pdf	PDF	Mar 13, 2026
36C10G26R0004 0010 CCN Next Gen Dental Network Amendment.pdf	PDF	Mar 6, 2026
36C10G26R0004 Next Gen Dental Network Conformed Copy 03062026.pdf	PDF	Mar 6, 2026
Attachment 2-CCN Next Gen Dental Network Contractor Manual_03_06_26 v3.pdf	PDF	Mar 6, 2026
Attachment 1 - CCN Next Gen Dental Network PWS_03_05_26 v3.pdf	PDF	Mar 6, 2026
Attachment Ca - QASP Dental by CA_02_24_26 v2.pdf	PDF	Feb 27, 2026
Attachment 1 - CCN Next Gen Dental Network PWS_02_25_26 v2.pdf	PDF	Feb 27, 2026
CCN NG Dental Record of Questions Amendment 0009.pdf	PDF	Feb 27, 2026
Attachment 2- CCN Next Gen Dental Contractor Manual_02_24_26 v2.pdf	PDF	Feb 27, 2026
Attachment C - Performance Requirement Summary_Dental_02_24_26 v3.pdf	PDF	Feb 27, 2026
Attachment R - Dental Network Provider Satisfaction Survey_02_24_26 v2.pdf	PDF	Feb 27, 2026
36C10G26R0004 0009.pdf	PDF	Feb 27, 2026
Attachment Q- Network Adequacy Rate Waiver Form- Dental Network_02_24_26 v3.pdf	PDF	Feb 27, 2026
36C10G26R0004 0008 CCN Next Gen Dental Amendment.pdf	PDF	Feb 24, 2026
CCN Next Gen - Care Coordination Slides.pdf	PDF	Feb 24, 2026
CCN Next Gen - Eligibility_Enrollment Slides.pdf	PDF	Feb 24, 2026
CCN Next Gen - Referrals_Authorizations_SEOCs Overview.mp4	MP4 file	Feb 24, 2026
CCN Next Gen - Eligibility_Enrollment Overview.mp4	MP4 file	Feb 24, 2026
CCN Next Gen - Care Coordintion Overview.mp4	MP4 file	Feb 24, 2026
CCN Next Gen - Referrals_Authorizations_SEOC Slides.pdf	PDF	Feb 24, 2026
36C10G26R0004 0007 CCN Next Gen Dental Network Amendment.pdf	PDF	Feb 13, 2026
Attachment 6 - Past Performance Reference Template - Dental Network.pdf	PDF	Feb 13, 2026
36C10G26R0004 0006 CCN Next Gen Dental Amendment.pdf	PDF	Feb 6, 2026
CCN NG Dental Record of Questions Amendment 0006.pdf	PDF	Feb 6, 2026
CCN Next Generation Dental Pre-proposal Conference slides_01212026.pdf	PDF	Jan 28, 2026
36C10G26R0004 0005 CCN Next Gen Dental Amendment.pdf	PDF	Jan 28, 2026
36C10G26R0004 0004 CCN Next Gen Dental Amendment.pdf	PDF	Jan 23, 2026
CCN Next Gen Dental Pre-proposal Conference 01212026 Recording.mp4	MP4 file	Jan 23, 2026
Attachment O Dental Volumes by Station Dental Network_Updated.xlsx	XLSX spreadsheet	Jan 16, 2026
Attachment C- Performance Requirement Summary- Dental Network _V2.xlsx	XLSX spreadsheet	Jan 16, 2026
36C10G26R0004 0003 CCN Next Gen Dental Amendment.pdf	PDF	Jan 16, 2026
36C10G26R0004 0002 CCN Next Gen Dental Network Amendment.pdf	PDF	Jan 8, 2026
Attachment 2- CCN Next Gen Dental Contractor Manual_v1.0.pdf	PDF	Dec 23, 2025
36C10G26R0004 0001 CCN Next Gen Dental RFP Amendment 12.23.25.pdf	PDF	Dec 23, 2025
Next Gen Dental Combined Synopsis_Solicitation_v2.pdf	PDF	Dec 23, 2025
Dental IDIQ Record of Questions_Amendment 0001.pdf	PDF	Dec 23, 2025
Attachment 4- Phase I Questionnaire- Dental Network.pdf	PDF	Dec 15, 2025
Attachment N- Scheduling Return Reason Codes- Dental Network.docx	DOCX document	Dec 15, 2025
Attachment J- Data Specifications- Dental Network.xlsx	XLSX spreadsheet	Dec 15, 2025
Attachment C- Performance Requirement Summary- Dental Network.xlsx	XLSX spreadsheet	Dec 15, 2025

Show 40 more

Latest 50 of 77 listed here. See the rest on GovTribe.

On GovTribe

Work with this file

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Sched Uniques

Total Number of Unique Veterans with a Scheduled Authorization

Data Source: IIA

Transaction Date: FY22 - FY25Q3 (10/1/21 - 6/30/25)

Data Disclosures

Data is restricted to Referral Creates Dates between 10/1/21 - 6/30/25 only

Referral FY is based on the Referral Create Date

FY25 is only through Quarter 3 only (10/01/24 - 6/30/25)

Station Number and Facility is associated with the referral

Data is restricted to 'IsInActiveStatus = 1', which includes all active statuses: 'ACCEPTED', 'ACCEPTED RETRO', 'ACTIVE', 'APPROVED', 'CLOSED - APPROVED FOR 1703',

'CLOSED - APPROVED FOR 1720J', 'EOC COMPLETE', 'FIRST APPOINTMENT MADE', 'INITIAL', 'INITIAL CARE GIVEN', 'SENT'
Unique Patient counts is calculated by using the distinct count of the Patient's SSN
NOTE: Total Unique Patients cannot be added together as this cause inflation due to duplicate Veterans per year. Grand totals at bottom provide the accurate uniques enterprise wide
Station / VAMC	FY22	FY23	FY24	FY25 Thru Q3
(V01) (402) Togus, ME HCS	1,940	2,017	1,933	2,091
(V01) (405) White River Junction, VT HCS	1,431	1,618	1,734	1,624
(V01) (518) Bedford, MA HCS	603	508	420	478
(V01) (523) Boston, MA HCS	65	84	96	187
(V01) (608) Manchester, NH HCS	1,694	1,780	1,681	1,276
(V01) (631) Central Western Massachusetts HCS	1,128	1,409	1,734	1,643
(V01) (650) Providence, RI HCS	1,057	1,113	970	947
(V01) (689) Connecticut HCS	393	417	437	342
(V02) (526) Bronx, NY HCS		1	1
(V02) (528) Western New York HCS	186	200	131	144
(V02) (528A6) Finger Lakes, NY HCS	65	159	474	533
(V02) (528A7) Syracuse, NY HCS	1,156	1,327	1,465	1,130
(V02) (528A8) Albany, NY HCS	307	373	436	431
(V02) (561) New Jersey HCS	147	404	622	735
(V02) (620) Hudson Valley, NY HCS	26	37	54	82
(V02) (630) New York Harbor HCS	2			2
(V02) (632) Northport, NY HCS	12	1	13	16
(V04) (460) Wilmington, DE HCS	1,016	930	1,419	1,254
(V04) (503) Altoona, PA HCS	330	404	543	416
(V04) (529) Butler, PA HCS	40	71	83	76
(V04) (542) Coatesville, PA HCS	177	227	258	212
(V04) (562) Erie, PA HCS	281	333	404	451
(V04) (595) Lebanon, PA HCS	333	257	261	491
(V04) (642) Philadelphia, PA HCS	883	1,286	1,069	950
(V04) (646) Pittsburgh, PA HCS	28	66	91	77
(V04) (693) Wilkes-Barre, PA HCS	263	366	459	590
(V05) (512) Baltimore, MD HCS	303	1,029	2,241	2,605
(V05) (517) Beckley, WV HCS	710	933	1,264	808
(V05) (540) Clarksburg, WV HCS	476	599	826	888
(V05) (581) Huntington, WV HCS	757	876	1,198	1,164
(V05) (613) Martinsburg, WV HCS	597	513	919	1,024
(V05) (688) Washington, DC HCS	2,983	4,647	5,435	5,371
(V06) (558) Durham, NC HCS	2,986	3,453	3,501	3,350
(V06) (565) Fayetteville, NC HCS	6,148	7,902	9,639	9,831
(V06) (590) Hampton, VA HCS	2,844	3,866	4,093	4,521
(V06) (637) Asheville, NC HCS	1,399	1,891	2,268	2,169
(V06) (652) Richmond, VA HCS	3,320	4,226	5,052	5,332
(V06) (658) Salem, VA HCS	1,189	1,535	1,821	1,495
(V06) (659) Salisbury, NC HCS	4,650	5,203	6,401	6,411
(V07) (508) Atlanta, GA HCS	4,675	6,305	7,040	7,047
(V07) (509) Augusta, GA HCS	1,525	1,904	2,464	2,388
(V07) (521) Birmingham, AL HCS	2,588	2,616	2,923	3,058
(V07) (534) Charleston, SC HCS	4,957	5,962	6,631	7,004
(V07) (544) Columbia, SC HCS	3,925	5,153	7,072	7,333
(V07) (557) Dublin, GA HCS	2,974	3,407	4,099	3,895
(V07) (619) Central Alabama HCS	5,151	6,635	8,523	8,000
(V07) (679) Tuscaloosa, AL HCS	638	699	760	631
(V08) (516) Bay Pines, FL HCS	3,235	4,556	4,858	3,952
(V08) (546) Miami, FL HCS	176	181	379	632
(V08) (548) West Palm Beach, FL HCS	1,095	1,194	1,948	1,851
(V08) (573) Gainesville, FL HCS	6,518	8,544	11,191	11,837
(V08) (672) San Juan, PR HCS	1,067	1,295	1,750	1,781
(V08) (673) Tampa, FL HCS	4,739	5,489	6,974	7,198
(V08) (675) Orlando, FL HCS	6,348	7,789	8,001	7,422
(V09) (596) Lexington, KY HCS	1		1	18
(V09) (603) Louisville, KY HCS	613	863	1,127	1,291
(V09) (614) Memphis, TN HCS	1,375	1,568	1,804	1,939
(V09) (621) Mountain Home, TN HCS	2,421	2,430	2,572	2,928
(V09) (626) Middle Tennessee HCS	4,084	5,045	6,449	6,296
(V10) (506) Ann Arbor, MI HCS	434	610	796	584
(V10) (515) Battle Creek, MI HCS	2,165	2,562	2,711	2,546
(V10) (538) Chillicothe, OH HCS	199	274	386	393
(V10) (539) Cincinnati, OH HCS	738	1,049	885	720
(V10) (541) Cleveland, OH HCS	668	955	1,310	1,492
(V10) (552) Dayton, OH HCS	192	427	1,072	1,231
(V10) (553) Detroit, MI HCS	320	654	489	346
(V10) (583) Indianapolis, IN HCS	601	737	1,374	1,410
(V10) (610) Northern Indiana HCS	871	1,409	1,693	1,705
(V10) (655) Saginaw, MI HCS	1,571	2,017	2,405	2,100
(V10) (757) Columbus, OH HCS	539	682	841	934
(V12) (537) Chicago, IL HCS	44	109	236	369
(V12) (550) Danville, IL HCS	844	1,075	1,329	1,385
(V12) (556) North Chicago, IL HCS	150	210	451	442
(V12) (578) Hines, IL HCS	185	254	276	225
(V12) (585) Iron Mountain, MI HCS	886	1,031	1,211	1,114
(V12) (607) Madison, WI HCS	718	966	1,201	1,200
(V12) (676) Tomah, WI HCS	942	1,159	1,139	1,036
(V12) (695) Milwaukee, WI HCS	42	49	95	74
(V15) (589) Kansas City, MO HCS	1,235	1,938	1,350	1,073
(V15) (589A4) Columbia, MO HCS	2,870	2,920	3,416	3,093
(V15) (589A5) Eastern Kansas HCS	1,648	1,818	2,117	2,059
(V15) (589A7) Wichita, KS HCS	1,281	1,333	1,512	1,715
(V15) (657) St. Louis, MO HCS	1,642	2,006	2,442	2,417
(V15) (657A4) Poplar Bluff, MO HCS	1,273	1,195	1,276	1,318
(V15) (657A5) Marion, IL HCS	874	1,426	2,582	1,344
(V16) (502) Alexandria, LA HCS	1,927	2,304	2,641	2,757
(V16) (520) Gulf Coast, MS HCS	3,242	4,781	6,179	6,721
(V16) (564) Fayetteville, AR HCS	1,251	1,207	1,473	1,466
(V16) (580) Houston, TX HCS	1,790	2,739	4,910	6,660
(V16) (586) Jackson, MS HCS	642	717	1,001	984
(V16) (598) Little Rock, AR HCS	1,875	2,421	3,273	3,144
(V16) (629) New Orleans, LA HCS	607	1,236	1,184	1,180
(V16) (667) Shreveport, LA HCS	341	445	669	991
(V17) (504) Amarillo, TX HCS	724	713	819	635
(V17) (519) Big Spring, TX HCS	850	937	1,172	987
(V17) (549) Dallas, TX HCS	5,100	6,276	8,488	9,376
(V17) (671) San Antonio, TX HCS	5,893	5,657	8,728	7,538
(V17) (674) Temple, TX HCS	4,523	5,810	8,583	8,145
(V17) (740) Texas Valley Coastal Bend HCS	3,161	3,592	4,008	4,222
(V17) (756) El Paso, TX HCS	2,258	2,395	2,768	2,748
(V19) (436) Montana HCS	1,916	1,967	2,427	2,428
(V19) (442) Cheyenne, WY HCS	499	593	578	599
(V19) (554) Aurora, CO HCS	2,320	3,690	4,803	5,690
(V19) (575) Grand Junction, CO HCS	408	453	548	471
(V19) (623) Muskogee, OK HCS	1,297	1,609	1,353	1,488
(V19) (635) Oklahoma City, OK HCS	2,758	3,493	4,959	3,148
(V19) (660) Salt Lake City, UT HCS	1,244	1,683	2,442	2,532
(V19) (666) Sheridan, WY HCS	432	389	526	477
(V20) (463) Anchorage, AK HCS	1,031	1,167	1,603	1,695
(V20) (531) Boise, ID HCS	842	1,248	1,392	1,269
(V20) (648) Portland, OR HCS	2,127	2,663	3,401	3,501
(V20) (653) Roseburg, OR HCS	1,542	1,542	1,530	1,293
(V20) (663) Puget Sound, WA HCS	4,228	4,566	4,949	4,822
(V20) (668) Spokane, WA HCS	1,164	1,607	1,975	1,752
(V20) (687) Walla Walla, WA HCS	814	813	979	971
(V20) (692) White City, OR HCS	350	538	817	871
(V21) (459) Honolulu, HI HCS	3,575	3,943	4,527	4,564
(V21) (570) Fresno, CA HCS	1,064	1,301	1,365	1,377
(V21) (593) Las Vegas, NV HCS	5,511	6,341	7,532	6,846
(V21) (612A4) N. California HCS	1,123	2,618	2,472	1,964
(V21) (640) Palo Alto, CA HCS	1,876	1,278	909	783
(V21) (654) Reno, NV HCS	525	479	577	509
(V21) (662) San Francisco, CA HCS	346	311	325	340
(V22) (501) New Mexico HCS	3,489	4,178	4,581	4,194
(V22) (600) Long Beach, CA HCS	1,200	1,339	1,793	1,677
(V22) (605) Loma Linda, CA HCS	3,039	4,319	5,633	5,637
(V22) (644) Phoenix, AZ HCS	2,895	3,761	3,995	4,025
(V22) (649) Northern Arizona HCS	1,592	1,806	1,931	1,901
(V22) (664) San Diego, CA HCS	4,106	6,012	8,361	7,485
(V22) (678) Southern Arizona HCS	2,627	2,864	3,642	3,725
(V22) (691) Greater Los Angeles, CA HCS	912	1,549	2,532	2,901
(V23) (437) Fargo, ND HCS	1,401	1,494	1,631	1,706
(V23) (438) Sioux Falls, SD HCS	994	1,228	1,212	1,006
(V23) (568) Black Hills, SD HCS	377	443	517	720
(V23) (618) Minneapolis, MN HCS	2,650	3,487	3,975	3,543
(V23) (636) Nebraska-W Iowa HCS	403	441	537	584
(V23) (636A6) Central Iowa HCS	713	935	1,076	1,038
(V23) (636A8) Iowa City, IA HCS	984	1,254	1,470	1,469
(V23) (656) St. Cloud, MN HCS	559	605	657	789
Grand Total	220,760	271,847	331,435	327,964

Auth Volume by VA - updated

Authorization Volume by VA Facility

Data Source: IVC CDS Referrals Fact

Transaction Date: FY22 - FY25 Q3 (10/1/21 - 6/30/25)

Data Description: Data reflects the total number of dental authorizations created between FY22 - FY25 Q3 (10/1/21 - 6/30/25)

Data Disclosures

Data is restricted to Dental Categories of Care only

Data is restricted to Referral Creates Dates between 10/01/2021 - 06/30/2025

Referral FY is based on the Referral Create Date

Data is restricted to 'IsInActiveStatus = 1', which includes all active statuses: 'ACCEPTED', 'ACCEPTED RETRO', 'ACTIVE', 'APPROVED', 'CLOSED - APPROVED FOR 1703',

'CLOSED - APPROVED FOR 1720J', 'EOC COMPLETE', 'FIRST APPOINTMENT MADE', 'INITIAL', 'INITIAL CARE GIVEN', 'SENT'
PatientGeo is the first 3 digits of the patient's zip code associated to the referral
VISN, Station Number, and Facility is associated with the referral
Patient Rurality is associated with the patient demographics that is associated to the referral
Patient Rurality - R = Rural, H = Highly Rural, U = Urban, z or NULL values indicate the data was not available in the dataset
Referral Counts was calculated using the distinct count of Referral Numbers based on all other data elements
NULL values indicate the data is not available in the dataset
VISN	Station Number	Facility	Patient Geo	Patient Rurality	Referral FY	SEOC	Referral Count	SEOC Grouped
V01	402	(V01) (402) Togus, ME HCS	012	H	22	Dental Definitive Phase SEOC 1.15.6	1	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	012	H	22	Dental Disease Management Phase SEOC 1.12.7	2	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	012	H	22	Dental Urgent Treatment SEOC 1.0.11	1	Dental Urgent Treatment
V01	402	(V01) (402) Togus, ME HCS	012	R	22	Dental Disease Management Phase SEOC 1.12.6	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	012	R	23	Dental Disease Management Phase SEOC 1.12.10	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	015	U	24	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.8	1	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	017	U	23	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.6	2	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	018	U	22	Dental Advanced Specialty Care Endodontics SEOC 1.10.5	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	018	U	22	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.4	1	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	018	U	22	Dental Disease Management Phase SEOC 1.12.5	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	018	U	23	Dental Advanced Specialty Care Endodontics SEOC 1.10.8	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	018	U	23	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.5	2	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	018	U	23	Dental Definitive Phase SEOC 1.15.7	2	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	018	U	23	Dental Definitive Phase SEOC 1.15.8	2	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	018	U	23	Dental Disease Management Phase SEOC 1.12.8	2	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	018	U	23	Dental Disease Management Phase SEOC 1.12.9	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	018	U	23	Dental Implant Supported Prosthodontics Phase SEOC 1.17.7	1	Dental Implant Supported Prosthodontics Phase
V01	402	(V01) (402) Togus, ME HCS	018	U	24	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.8	1	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	018	U	24	Dental Definitive Phase SEOC 1.15.9	1	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	018	U	24	Dental Disease Management Phase SEOC 1.12.10	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	018	U	24	Dental Implant Placement Phase SEOC 1.18.9	1	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	019	U	22	Dental Advanced Specialty Care Periodontics SEOC 1.11.4	1	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	019	U	23	Dental Advanced Specialty Care Periodontics SEOC 1.11.6	1	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	019	U	23	Dental Advanced Specialty Care Periodontics SEOC 1.11.7	1	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	019	U	25	Dental Advanced Specialty Care Periodontics SEOC 1.11.9	2	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	021	R	22	Dental Advanced Specialty Care Endodontics SEOC 1.10.5	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	021	U	22	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.4	1	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	021	U	22	Dental Disease Management Phase SEOC 1.12.7	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	021	U	23	Dental Advanced Specialty Care Endodontics SEOC 1.10.9	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	021	U	23	Dental Disease Management Phase SEOC 1.12.8	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	021	U	24	Dental Advanced Specialty Care Endodontics SEOC 1.10.10	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	025	U	23	Dental Disease Management Phase SEOC 1.12.8	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	028	R	22	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.3	1	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	028	U	22	Dental Advanced Specialty Care Periodontics SEOC 1.11.4	1	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	028	U	22	Dental Advanced Specialty Care Periodontics SEOC 1.11.5	1	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	028	U	22	Dental Disease Management Phase SEOC 1.12.5	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	028	U	22	Dental Disease Management Phase SEOC 1.12.7	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	028	H	23	Dental Disease Management Phase SEOC 1.12.8	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	028	R	23	Dental Implant Placement Phase SEOC 1.18.7	1	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	028	R	23	Dental Implant Placement Phase SEOC 1.18.8	1	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	028	U	23	Dental Disease Management Phase SEOC 1.12.9	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	028	H	24	Dental Disease Management Phase SEOC 1.12.10	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	028	H	24	Dental Disease Management Phase SEOC 1.12.11	2	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	028	U	24	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.7	1	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	028	U	24	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.8	2	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	028	H	25	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.8	1	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	028	H	25	Dental Definitive Phase SEOC 1.15.10	1	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	028	H	25	Dental Implant Placement Phase SEOC 1.18.10	1	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	028	H	25	Dental Implant Placement Phase SEOC 1.18.11	1	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	028	H	25	Dental Implant Supported Prosthodontics Phase SEOC 1.17.10	1	Dental Implant Supported Prosthodontics Phase
V01	402	(V01) (402) Togus, ME HCS	030	R	22	Dental Disease Management Phase SEOC 1.12.6	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	030	U	22	Dental Definitive Phase SEOC 1.15.6	1	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	030	U	22	Dental Disease Management Phase SEOC 1.12.6	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	030	U	22	Dental Disease Management Phase SEOC 1.12.7	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	030	U	23	Dental Advanced Specialty Care Endodontics SEOC 1.10.9	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	030	U	23	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.6	1	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	030	U	23	Dental Implant Placement Phase SEOC 1.18.8	1	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	030	U	25	Dental Disease Management Phase SEOC 1.12.12	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	031	U	24	Dental Definitive Phase SEOC 1.15.10	1	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	031	U	24	Dental Disease Management Phase SEOC 1.12.10	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	031	U	25	Dental Disease Management Phase SEOC 1.12.11	2	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	031	U	25	Dental Disease Management Phase SEOC 1.12.12	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	032	R	22	Dental Definitive Phase SEOC 1.15.6	1	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	032	R	22	Dental Disease Management Phase SEOC 1.12.7	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	032	R	23	Dental Advanced Specialty Care Endodontics SEOC 1.10.10	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	035	R	22	Dental Disease Management Phase SEOC 1.12.7	3	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	035	R	23	Dental Definitive Phase SEOC 1.15.7	1	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	035	R	23	Dental Definitive Phase SEOC 1.15.8	1	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	035	R	23	Dental Disease Management Phase SEOC 1.12.8	3	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	035	R	23	Dental Disease Management Phase SEOC 1.12.9	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	035	R	23	Dental Implant Supported Prosthodontics Phase SEOC 1.17.6	1	Dental Implant Supported Prosthodontics Phase
V01	402	(V01) (402) Togus, ME HCS	035	R	24	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.8	1	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	035	R	24	Dental Disease Management Phase SEOC 1.12.10	2	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	035	R	24	Dental Disease Management Phase SEOC 1.12.11	3	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	035	R	25	Dental Advanced Specialty Care Endodontics SEOC 1.10.12	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	035	R	25	Dental Definitive Phase SEOC 1.15.11	2	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	035	R	25	Dental Disease Management Phase SEOC 1.12.11	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	035	R	25	Dental Disease Management Phase SEOC 1.12.12	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	035	R	25	Dental Implant Supported Prosthodontics Phase SEOC 1.17.9	1	Dental Implant Supported Prosthodontics Phase
V01	402	(V01) (402) Togus, ME HCS	038	U	22	Dental Disease Management Phase SEOC 1.12.5	2	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	038	U	22	Dental Implant Supported Prosthodontics Phase SEOC 1.17.5	1	Dental Implant Supported Prosthodontics Phase
V01	402	(V01) (402) Togus, ME HCS	038	U	22	Dental Urgent Treatment SEOC 1.0.11	1	Dental Urgent Treatment
V01	402	(V01) (402) Togus, ME HCS	038	R	23	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.6	1	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	038	R	23	Dental Disease Management Phase SEOC 1.12.8	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	038	R	23	Dental Disease Management Phase SEOC 1.12.9	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	038	R	23	Dental Implant Placement Phase SEOC 1.18.8	1	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	038	U	23	Dental Definitive Phase SEOC 1.15.8	1	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	038	U	23	Dental Disease Management Phase SEOC 1.12.9	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	038	U	23	Dental Implant Supported Prosthodontics Phase SEOC 1.17.7	2	Dental Implant Supported Prosthodontics Phase
V01	402	(V01) (402) Togus, ME HCS	038	H	24	Dental Disease Management Phase SEOC 1.12.11	2	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	038	U	24	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.8	2	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	038	H	25	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.8	1	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	038	H	25	Dental Disease Management Phase SEOC 1.12.12	2	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	038	R	25	Dental Advanced Specialty Care Endodontics SEOC 1.10.11	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	038	R	25	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.9	1	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	038	R	25	Dental Definitive Phase SEOC 1.15.10	2	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	038	R	25	Dental Disease Management Phase SEOC 1.12.11	2	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	038	R	25	Dental Disease Management Phase SEOC 1.12.12	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	039	H	22	Dental Disease Management Phase SEOC 1.12.7	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	039	H	22	Dental Maintenance Phase SEOC 1.18.4	1	Dental Maintenance Phase
V01	402	(V01) (402) Togus, ME HCS	039	R	22	Dental Advanced Specialty Care Endodontics SEOC 1.10.5	2	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	039	R	22	Dental Advanced Specialty Care Endodontics SEOC 1.10.6	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	039	R	22	Dental Advanced Specialty Care Endodontics SEOC 1.10.7	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	039	R	22	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.4	2	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	039	R	22	Dental Advanced Specialty Care Periodontics SEOC 1.11.5	2	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	039	R	22	Dental Definitive Phase SEOC 1.15.5	1	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	039	R	22	Dental Definitive Phase SEOC 1.15.6	3	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	039	R	22	Dental Disease Management Phase SEOC 1.12.5	2	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	039	R	22	Dental Disease Management Phase SEOC 1.12.7	5	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	039	R	22	Dental Maintenance Phase SEOC 1.18.4	1	Dental Maintenance Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	22	Dental Advanced Specialty Care Endodontics SEOC 1.10.6	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	039	U	22	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.4	1	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	039	U	22	Dental Definitive Phase SEOC 1.15.6	2	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	22	Dental Disease Management Phase SEOC 1.12.5	3	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	22	Dental Disease Management Phase SEOC 1.12.6	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	22	Dental Disease Management Phase SEOC 1.12.7	5	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	22	Dental Implant Placement Phase SEOC 1.18.6	2	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	22	Dental Maintenance Phase SEOC 1.18.4	1	Dental Maintenance Phase
V01	402	(V01) (402) Togus, ME HCS	039	H	23	Dental Advanced Specialty Care Endodontics SEOC 1.10.9	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	039	H	23	Dental Disease Management Phase SEOC 1.12.9	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	039	H	23	Dental Implant Placement Phase SEOC 1.18.8	2	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	039	R	23	Dental Advanced Specialty Care Endodontics SEOC 1.10.8	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	039	R	23	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.6	6	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	039	R	23	Dental Advanced Specialty Care Periodontics SEOC 1.11.6	1	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	039	R	23	Dental Advanced Specialty Care Periodontics SEOC 1.11.7	1	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	039	R	23	Dental Definitive Phase SEOC 1.15.8	2	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	039	R	23	Dental Disease Management Phase SEOC 1.12.10	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	039	R	23	Dental Disease Management Phase SEOC 1.12.8	2	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	039	R	23	Dental Disease Management Phase SEOC 1.12.9	4	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	039	R	23	Dental Implant Placement Phase SEOC 1.18.8	1	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	039	R	23	Dental Implant Placement Phase SEOC 1.18.9	1	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	23	Dental Advanced Specialty Care Endodontics SEOC 1.10.9	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	039	U	23	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.5	3	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	039	U	23	Dental Advanced Specialty Care Periodontics SEOC 1.11.7	1	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	039	U	23	Dental Definitive Phase SEOC 1.15.7	1	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	23	Dental Definitive Phase SEOC 1.15.8	1	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	23	Dental Disease Management Phase SEOC 1.12.8	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	23	Dental Disease Management Phase SEOC 1.12.9	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	23	Dental Implant Placement Phase SEOC 1.18.7	2	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	23	Dental Implant Placement Phase SEOC 1.18.8	1	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	23	Dental Implant Supported Prosthodontics Phase SEOC 1.17.6	1	Dental Implant Supported Prosthodontics Phase
V01	402	(V01) (402) Togus, ME HCS	039	H	24	Dental Advanced Specialty Care Endodontics SEOC 1.10.10	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	039	H	24	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.8	1	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	039	H	24	Dental Definitive Phase SEOC 1.15.9	1	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	039	H	24	Dental Disease Management Phase SEOC 1.12.10	2	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	039	H	24	Dental Implant Placement Phase SEOC 1.18.10	1	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	039	R	24	Dental Advanced Specialty Care Endodontics SEOC 1.10.11	2	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	039	R	24	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.7	2	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	039	R	24	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.8	4	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	039	R	24	Dental Definitive Phase SEOC 1.15.10	2	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	039	R	24	Dental Definitive Phase SEOC 1.15.9	2	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	039	R	24	Dental Disease Management Phase SEOC 1.12.10	7	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	039	R	24	Dental Disease Management Phase SEOC 1.12.11	6	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	039	R	24	Dental Implant Placement Phase SEOC 1.18.10	4	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	039	R	24	Dental Implant Supported Prosthodontics Phase SEOC 1.17.9	1	Dental Implant Supported Prosthodontics Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	24	Dental Advanced Specialty Care Endodontics SEOC 1.10.10	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	039	U	24	Dental Advanced Specialty Care Endodontics SEOC 1.10.11	2	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	039	U	24	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.7	2	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	039	U	24	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.8	5	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	039	U	24	Dental Advanced Specialty Care Periodontics SEOC 1.11.8	1	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	039	U	24	Dental Advanced Specialty Care Periodontics SEOC 1.11.9	1	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	039	U	24	Dental Disease Management Phase SEOC 1.12.10	3	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	24	Dental Disease Management Phase SEOC 1.12.11	7	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	24	Dental Implant Placement Phase SEOC 1.18.10	1	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	24	Dental Implant Placement Phase SEOC 1.18.9	1	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	24	Dental Implant Supported Prosthodontics Phase SEOC 1.17.9	2	Dental Implant Supported Prosthodontics Phase
V01	402	(V01) (402) Togus, ME HCS	039	H	25	Dental Disease Management Phase SEOC 1.12.12	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	039	H	25	Dental Implant Placement Phase SEOC 1.18.10	1	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	039	R	25	Dental Advanced Specialty Care Endodontics SEOC 1.10.11	2	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	039	R	25	Dental Advanced Specialty Care Endodontics SEOC 1.10.12	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	039	R	25	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.8	2	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	039	R	25	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.9	1	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	039	R	25	Dental Advanced Specialty Care Periodontics SEOC 1.11.10	3	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	039	R	25	Dental Advanced Specialty Care Periodontics SEOC 1.11.9	1	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	039	R	25	Dental Advanced Specialty Care Prosthodontics SEOC 1.17.11	1	Dental Advanced Specialty Care Prosthodontics
V01	402	(V01) (402) Togus, ME HCS	039	R	25	Dental Definitive Phase SEOC 1.15.10	2	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	039	R	25	Dental Definitive Phase SEOC 1.15.11	3	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	039	R	25	Dental Disease Management Phase SEOC 1.12.11	6	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	039	R	25	Dental Disease Management Phase SEOC 1.12.12	4	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	039	R	25	Dental Implant Placement Phase SEOC 1.18.10	2	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	039	R	25	Dental Implant Supported Prosthodontics Phase SEOC 1.17.10	1	Dental Implant Supported Prosthodontics Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	25	Dental Advanced Specialty Care Endodontics SEOC 1.10.11	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	039	U	25	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.8	3	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	039	U	25	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.9	5	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	039	U	25	Dental Advanced Specialty Care Periodontics SEOC 1.11.10	1	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	039	U	25	Dental Definitive Phase SEOC 1.15.10	1	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	25	Dental Definitive Phase SEOC 1.15.11	6	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	25	Dental Disease Management Phase SEOC 1.12.11	2	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	25	Dental Disease Management Phase SEOC 1.12.12	11	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	25	Dental Implant Placement Phase SEOC 1.18.10	2	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	039	U	25	Dental Implant Supported Prosthodontics Phase SEOC 1.17.10	1	Dental Implant Supported Prosthodontics Phase
V01	402	(V01) (402) Togus, ME HCS	040	H	22	Dental Advanced Specialty Care Endodontics SEOC 1.10.5	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	040	H	22	Dental Advanced Specialty Care Endodontics SEOC 1.10.6	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	040	H	22	Dental Advanced Specialty Care Endodontics SEOC 1.10.7	3	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	040	H	22	Dental Advanced Specialty Care Endodontics SEOC 1.10.8	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	040	H	22	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.3	2	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	040	H	22	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.4	5	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	040	H	22	Dental Advanced Specialty Care Periodontics SEOC 1.11.4	2	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	040	H	22	Dental Advanced Specialty Care Periodontics SEOC 1.11.5	3	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	040	H	22	Dental Definitive Phase SEOC 1.15.4	2	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	040	H	22	Dental Definitive Phase SEOC 1.15.5	2	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	040	H	22	Dental Definitive Phase SEOC 1.15.6	4	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	040	H	22	Dental Disease Management Phase SEOC 1.12.5	10	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	040	H	22	Dental Disease Management Phase SEOC 1.12.6	4	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	040	H	22	Dental Disease Management Phase SEOC 1.12.7	16	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	040	H	22	Dental Implant Placement Phase SEOC 1.18.6	4	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	040	H	22	Dental Implant Supported Prosthodontics Phase SEOC 1.17.4	1	Dental Implant Supported Prosthodontics Phase
V01	402	(V01) (402) Togus, ME HCS	040	H	22	Dental Maintenance Phase SEOC 1.18.4	8	Dental Maintenance Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Advanced Specialty Care Endodontics SEOC 1.10.5	17	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Advanced Specialty Care Endodontics SEOC 1.10.6	14	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Advanced Specialty Care Endodontics SEOC 1.10.7	14	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.3	11	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.4	55	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Advanced Specialty Care Periodontics SEOC 1.11.4	3	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Advanced Specialty Care Periodontics SEOC 1.11.5	22	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Advanced Specialty Care Prosthodontics SEOC 1.17.4	1	Dental Advanced Specialty Care Prosthodontics
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Advanced Specialty Care Prosthodontics SEOC 1.17.5	3	Dental Advanced Specialty Care Prosthodontics
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Advanced Specialty Care Prosthodontics SEOC 1.17.6	8	Dental Advanced Specialty Care Prosthodontics
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Definitive Phase SEOC 1.15.4	27	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Definitive Phase SEOC 1.15.5	9	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Definitive Phase SEOC 1.15.6	31	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Definitive Phase SEOC 1.15.8	1	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Disease Management Phase SEOC 1.12.5	40	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Disease Management Phase SEOC 1.12.6	27	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Disease Management Phase SEOC 1.12.7	110	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Disease Management Phase SEOC 1.12.8	1	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Implant Placement Phase SEOC 1.18.4	8	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Implant Placement Phase SEOC 1.18.5	4	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Implant Placement Phase SEOC 1.18.6	19	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Implant Placement Phase SEOC 1.18.7	1	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Implant Supported Prosthodontics Phase SEOC 1.17.4	5	Dental Implant Supported Prosthodontics Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Implant Supported Prosthodontics Phase SEOC 1.17.5	9	Dental Implant Supported Prosthodontics Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Implant Supported Prosthodontics Phase SEOC 1.17.6	1	Dental Implant Supported Prosthodontics Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Maintenance Phase SEOC 1.18.4	33	Dental Maintenance Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	22	Dental Urgent Treatment SEOC 1.0.11	7	Dental Urgent Treatment
V01	402	(V01) (402) Togus, ME HCS	040	U	22	Dental Advanced Specialty Care Endodontics SEOC 1.10.5	3	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	040	U	22	Dental Advanced Specialty Care Endodontics SEOC 1.10.6	10	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	040	U	22	Dental Advanced Specialty Care Endodontics SEOC 1.10.7	9	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	040	U	22	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.3	2	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	040	U	22	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.4	30	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	040	U	22	Dental Advanced Specialty Care Periodontics SEOC 1.11.4	4	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	040	U	22	Dental Advanced Specialty Care Periodontics SEOC 1.11.5	7	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	040	U	22	Dental Advanced Specialty Care Prosthodontics SEOC 1.17.5	1	Dental Advanced Specialty Care Prosthodontics
V01	402	(V01) (402) Togus, ME HCS	040	U	22	Dental Advanced Specialty Care Prosthodontics SEOC 1.17.6	1	Dental Advanced Specialty Care Prosthodontics
V01	402	(V01) (402) Togus, ME HCS	040	U	22	Dental Definitive Phase SEOC 1.15.4	11	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	040	U	22	Dental Definitive Phase SEOC 1.15.5	8	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	040	U	22	Dental Definitive Phase SEOC 1.15.6	9	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	040	U	22	Dental Disease Management Phase SEOC 1.12.5	17	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	040	U	22	Dental Disease Management Phase SEOC 1.12.6	10	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	040	U	22	Dental Disease Management Phase SEOC 1.12.7	43	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	040	U	22	Dental Implant Placement Phase SEOC 1.18.4	4	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	040	U	22	Dental Implant Placement Phase SEOC 1.18.5	3	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	040	U	22	Dental Implant Placement Phase SEOC 1.18.6	7	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	040	U	22	Dental Implant Supported Prosthodontics Phase SEOC 1.17.4	2	Dental Implant Supported Prosthodontics Phase
V01	402	(V01) (402) Togus, ME HCS	040	U	22	Dental Implant Supported Prosthodontics Phase SEOC 1.17.5	6	Dental Implant Supported Prosthodontics Phase
V01	402	(V01) (402) Togus, ME HCS	040	U	22	Dental Maintenance Phase SEOC 1.18.4	10	Dental Maintenance Phase
V01	402	(V01) (402) Togus, ME HCS	040	U	22	Dental Urgent Treatment SEOC 1.0.11	4	Dental Urgent Treatment
V01	402	(V01) (402) Togus, ME HCS	040	H	23	Dental Advanced Specialty Care Endodontics SEOC 1.10.8	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	040	H	23	Dental Advanced Specialty Care Endodontics SEOC 1.10.9	4	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	040	H	23	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.5	7	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	040	H	23	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.6	5	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	040	H	23	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.7	2	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	040	H	23	Dental Advanced Specialty Care Periodontics SEOC 1.11.6	1	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	040	H	23	Dental Advanced Specialty Care Periodontics SEOC 1.11.7	3	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	040	H	23	Dental Advanced Specialty Care Periodontics SEOC 1.11.8	1	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	040	H	23	Dental Advanced Specialty Care Prosthodontics SEOC 1.17.8	1	Dental Advanced Specialty Care Prosthodontics
V01	402	(V01) (402) Togus, ME HCS	040	H	23	Dental Definitive Phase SEOC 1.15.7	5	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	040	H	23	Dental Definitive Phase SEOC 1.15.8	3	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	040	H	23	Dental Disease Management Phase SEOC 1.12.10	2	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	040	H	23	Dental Disease Management Phase SEOC 1.12.8	12	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	040	H	23	Dental Disease Management Phase SEOC 1.12.9	10	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	040	H	23	Dental Implant Placement Phase SEOC 1.18.7	1	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	040	H	23	Dental Implant Placement Phase SEOC 1.18.8	5	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	040	H	23	Dental Implant Placement Phase SEOC 1.18.9	2	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	040	H	23	Dental Implant Supported Prosthodontics Phase SEOC 1.17.6	1	Dental Implant Supported Prosthodontics Phase
V01	402	(V01) (402) Togus, ME HCS	040	H	23	Dental Implant Supported Prosthodontics Phase SEOC 1.17.7	3	Dental Implant Supported Prosthodontics Phase
V01	402	(V01) (402) Togus, ME HCS	040	H	23	Dental Implant Supported Prosthodontics Phase SEOC 1.17.8	1	Dental Implant Supported Prosthodontics Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Advanced Specialty Care Endodontics SEOC 1.10.10	4	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Advanced Specialty Care Endodontics SEOC 1.10.8	21	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Advanced Specialty Care Endodontics SEOC 1.10.9	17	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.5	30	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.6	69	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.7	15	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Advanced Specialty Care Periodontics SEOC 1.11.6	7	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Advanced Specialty Care Periodontics SEOC 1.11.7	4	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Advanced Specialty Care Periodontics SEOC 1.11.8	1	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Advanced Specialty Care Prosthodontics SEOC 1.17.7	4	Dental Advanced Specialty Care Prosthodontics
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Advanced Specialty Care Prosthodontics SEOC 1.17.8	2	Dental Advanced Specialty Care Prosthodontics
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Definitive Phase SEOC 1.15.7	20	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Definitive Phase SEOC 1.15.8	18	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Definitive Phase SEOC 1.15.9	4	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Disease Management Phase SEOC 1.12.10	19	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Disease Management Phase SEOC 1.12.8	42	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Disease Management Phase SEOC 1.12.9	73	Dental Disease Management Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Implant Placement Phase SEOC 1.18.7	18	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Implant Placement Phase SEOC 1.18.8	24	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Implant Placement Phase SEOC 1.18.9	7	Dental Implant Placement Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Implant Supported Prosthodontics Phase SEOC 1.17.6	5	Dental Implant Supported Prosthodontics Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Implant Supported Prosthodontics Phase SEOC 1.17.7	3	Dental Implant Supported Prosthodontics Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Implant Supported Prosthodontics Phase SEOC 1.17.8	1	Dental Implant Supported Prosthodontics Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Maintenance Phase SEOC 1.18.6	1	Dental Maintenance Phase
V01	402	(V01) (402) Togus, ME HCS	040	R	23	Dental Urgent Treatment SEOC 1.0.13	1	Dental Urgent Treatment
V01	402	(V01) (402) Togus, ME HCS	040	U	23	Dental Advanced Specialty Care Endodontics SEOC 1.10.10	1	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	040	U	23	Dental Advanced Specialty Care Endodontics SEOC 1.10.8	7	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	040	U	23	Dental Advanced Specialty Care Endodontics SEOC 1.10.9	13	Dental Advanced Specialty Care Endodontics
V01	402	(V01) (402) Togus, ME HCS	040	U	23	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.5	15	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	040	U	23	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.6	19	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	040	U	23	Dental Advanced Specialty Care Oral Surgery SEOC 1.18.7	5	Dental Advanced Specialty Care Oral Surgery
V01	402	(V01) (402) Togus, ME HCS	040	U	23	Dental Advanced Specialty Care Periodontics SEOC 1.11.6	6	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	040	U	23	Dental Advanced Specialty Care Periodontics SEOC 1.11.7	8	Dental Advanced Specialty Care Periodontics
V01	402	(V01) (402) Togus, ME HCS	040	U	23	Dental Advanced Specialty Care Prosthodontics SEOC 1.17.9	1	Dental Advanced Specialty Care Prosthodontics
V01	402	(V01) (402) Togus, ME HCS	040	U	23	Dental Definitive Phase SEOC 1.15.7	7	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	040	U	23	Dental Definitive Phase SEOC 1.15.8	12	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	040	U	23	Dental Definitive Phase SEOC 1.15.9	2	Dental Definitive Phase
V01	402	(V01) (402) Togus, ME HCS	040	U	23	Dental Disease Management Phase SEOC 1.12.10	7	Dental Disease Management Phase

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Dec 15, 2025.