Preventive Dental Coverage

As low as $35.00
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Preventive Dental Coverage

Member Information

Social Security Number (required for insurance products)

Subscription Term = 1 Month

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Spouse Information

First Name Last Name Date of Birth
Gender Social Security Number

Child Information

First Name Last Name Date of Birth
Gender Social Security Number

MONTHLY PREVENTIVE DENTAL
Employee Only $35
Employee + Spouse $50
Employee + Child(ren) $48
Family $68
  In-Network Out-of-Network

Preventive & Diagnostic

Exams; Cleanings; Bitewing X-Rays; Full Mouth X-Rays; Fluoride Treat-
ments (Frequency limitations apply); Space Maintainers

 

 

Covered at 100%

Annual Maximum (per person)

$1,000

Annual Deductible

Per Person
Family Maximum
Waived For

 

None
None
Preventive & Diagnostic

 

Search for an in-network provider: 

  1. Click this link
  2. Select Delta Dental PPO for "your plan"
  3. Select the specialty of your choice
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