Average dental fees by zip
[DOCX File]IDSC | Supreme Court
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City, State and Zip Code ... Use a monthly average for items that vary from month to month. Multiply weekly income and deductions by 4.33. Multiply biweekly income by 2.165 to arrive at the total amount for the month. ... UNREIMBURSED MEDICAL AND DENTAL EXPENSES: (Cost to you after, or in addition to, any insurance reimbursement) Prescriptions ...
[DOCX File]Wisconsin Department of Public Instruction
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Deduction #2: Based on current information (American Dental Association at www.ada.org), the average dental insurance premium for a single individual is $30 per month. Assuming the employer will pay 50% of the premium, the coverage would cost $15 for the employee. Be sure you enter . $15.00. as a . fixed amount. for your monthly dental ...
[DOC File]OWCP MEDICAL FEE SCHEDULE - 2001
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A listing of geographic practice cost indices by ZIP code is contained in the file . fs12gpci-by-zip.xls. ... *** American Dental Association, Current Dental Terminology 2011-2012 ... Charges and fees for current services that are billed under codes not current on the above-listed coding schemes, or that are applicable only to state workers ...
[DOC File]Rural Health Clinic Section II
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Field # Field name Description 1. (blank) Enter the provider’s name, (physical address – service location) city, state, zip code, and telephone number. 2. (blank) The address that the provider submitting the bill intends payment to be sent if different from FL 01. (Use this address for provider’s return address for returned mail.) 3a.
[DOC File]OWCP MEDICAL FEE SCHEDULE - 2001
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A listing of geographic practice cost indices by ZIP code is contained in the file: Effective_ June_30_2020_gpci-by-zip.xls. Modifier Adjustments. Listings of Modifier Level Tables with OWCP-designated fee schedule adjustment for each modifier are contained in the file: Effective_ June_30_2020_mod_table.xls.
[DOCX File]Petition for the Appointment of an Emergency Guardian and ...
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Zip Code OR ______ (b)Attached hereto as pages 11 and 12 and made a part of this Petition is the completed affidavit of ____________, a physician, psychologist licensed to practice in Georgia or licensed clinical social worker, who has examined the Proposed Ward within fifteen (15) days prior to the filing of this Petition, and shows to the ...
[DOCX File]Maryland State Board of Dental Examiners
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Yes No I have been actively practicing dental hygiene for at least 3 years, and during the 3 year period preceding my application, I have been actively engaged in practicing dental hygiene for at least 150 hours on average per year for a total of at least 450 hours. See Guidelines for requirement to submit a notarized statement.)
[DOCX File]ZIP Code Data - IRS
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The Statistics of Income (SOI) Division’s ZIP code data is tabulated using individual income tax returns (Forms 1040) filed with the Internal Revenue Service (IRS) during the 12-month period, January 1, 2018 to December 31, 2018.
[DOCX File]Washington State Courts Washington Courts
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The incapacitated person is a Medicaid client of the Department of Social and Health Services (DSHS) who (1) pays Guardian’s fees; and (2) is required to contribute to the cost of his or her care in a nursing home or other similar facility. Notice must be provided at …
[DOCX File]ZIP Code Data - IRS tax forms
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ZIP codes with less than 100 returns and those identified as a single building or nonresidential ZIP code were categorized as “other” (99999). Income and tax items with less than 20 returns for a particular AGI class were combined with another AGI class within the same ZIP Code. Collapsed AGI classes are identified with a double asterisk (**).
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