DHMO Fee Schedules

• U20 co5 Guardian DHMO Fee Service Schedule
• U40 co5 Guardian DHMO Fee Service Schedule

DHMO Dental

• NY Metro-DHMO Only U20 & U40 Rates Jan-Jun 30, 2022

PPO Dental

• Dental PPO UY 100 2-4 enrolled Rates rev 1.6
• Dental PPO UY 100 5-15 enrolled Rates rev 1.6
• Dental PPO UY 105 2-4 enrolled Rates rev 1.6
• Dental PPO UY 105 5-15 enrolled Rates rv 1.6