What You’ll Pay For Your Dental Care

Select a type of plan to find out how much you’ll pay.

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No Deductible
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No Annual Benefit Limit
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$350 Individual Out-of-Pocket Maximum (child only)
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$700 Family Out-of-Pocket Maximum (2 or more children only)
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$0 Office Copay
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No Waiting Period for Children


Service Price
Diagnostic and Preventive (includes x-rays, exams, cleaning and sealants) Free
Amalgam Filling: One Surface $25
Root Canal: Molar $300
Gingivectomy, Per Tooth $50
Extraction: Single Tooth, Exposed Root or Erupted $65
Extraction: Complete Bony $160
Crown: Porcelain With Metal $300
Medically Necessary Orthodontia $350 for children

Not covered for adults

Ready to care for your health?


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