Space Maintainers (dental)
This UnitedHealthcare Dental Clinical Policy addresses indications, contraindications, and coding for space maintainers used to preserve arch space after premature loss of primary teeth. It is intended to assist interpretation of standard and Medicare Advantage dental plans but benefit coverage is governed by member-specific plan documents.
Template Update changed policy type classification from 'Coverage Guideline' to 'Clinical Policy'.
Coverage Summary
This UnitedHealthcare Dental Clinical Policy addresses indications, contraindications, and coding for space maintainers used to preserve arch space after premature loss of primary teeth. It is intended to assist interpretation of standard and Medicare Advantage dental plans but benefit coverage is governed by member-specific plan documents.