Dental Benefits

Dental insurance offers coverage for preventive care like routine exams, cleanings, and X-rays as well as basic and major services like fillings, extractions, root canals and crowns.

Keep in mind that your costs will generally be lower if you choose an in-network dentist. To find an in-network dentist, please visit www.deltadentalmo.com.

	Delta Dental PPO	Delta Dental Premier	Out-of-Network
Deductible (Individual/Family)	$50 / $150	$50 / $150	$50 / $150
Annual Maximum Benefit per Person	$1,500	$1,500	$1,500
Type I - Preventative Services	100%	100%	100%*
Type II - Basic Services	80%	80%	80%
Type III - Major Services	50%	50%	50%
Type IV - Orthodontia Services	50%	50%	50%
Orthodontia Lifetime Maximum (under age 19)	$1,500	$1,500	$1,500
Dependent Limiting Age	26	26	26


*Out-of-Network balance billing may occur

	Per Pay Period Cost
Employee	$0.00
Employee + Spouse	$16.50
Employee + Child(ren)	$21.00
Family	$41.50

Downloads

Summary of Benefits

Group Number

30108092

Provided By

Delta Dental of Missouri

Provider Website

https://www.deltadentalmo.com/

Customer Service

800.335.8266

Resources

Frequently Asked Questions