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* * * * * (d) CMS may remove an improvement activity from MIPS based on one or more of the following factors, provided however CMS may retain an improvement activity that meets one or more of the following factors if CMS determines the benefit of retaining the activity outweighs the benefit of removing it: (1) Factor 1: Activity is duplicative of another activity

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Health 19 , (2021)

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These stains may occur due to the death of tooth pulp, overexposure to fluoride, or natural discoloration of the dentin as the tooth ages