Plan details: vision $200 Max (0)

Name: Leigh Ammon DMD PC:Gold PPO 2500 w/vision $200 Max — MODA Health negotiated rates
Creator: MODA Health
License: https://www.ecfr.gov/current/title-45/part-147/section-147.212#p-147.212(b)(2)

Plan details for Leigh Ammon DMD PC:Gold PPO 2500 w/vision $200 Max (ID: 270834590)

Date	Schema	Filename	# of Parts	# of Parts Available	Total source size
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