1. Oral exams and problem-focused exams in office or via teledentistry • Two routine office exams per calendar year • Two problem-focused exams (office or teledentistry) per calendar year Additional oral exams allowed if medically necessary and the dentist receives prior authorization from the Contractor. 2. Screenings, including state or federally mandated screenings, to determine an individual's need to be seen by a dentist for diagnosis, but no more than twice in a Year. 3. Patient assessments (limited clinical inspection that is performed to identify possible signs of oral or systemic disease, malformation, or injury, and the potential need for referral for diagnosis and treatment), but no more than twice in a Year. 4. Full mouth or panoramic x-rays once every 60 months. 5. Bitewing x-rays • Adults (age 19 and over) – 1 set per 12 months • Children through age 18 – 1 set per 6 months
