Basic Services
Exams, X-rays, cleanings, fluoride, sealants, fillings
Major Services
Surgical extractions, bridges, crowns, dentures, root canals, periodontics
Major Services
Orthodontia
Basic Coverage Plans
UDB or Preventive Plan
100%
$1,500 lifetime maximum
Not covered
Major Coverage Plans
Delta Dental PPO – Select Plan
Delta Dental PPO – Plus Premier
Select Plus Plan
Covered under the basic coverage plans
Covered under the basic coverage plans
50%
60% - 80%
$1,500* lifetime maximum in addition to UDB
None
*$1,500 for dependents over 19 and adults and $3,000 for dependent children under 19 when combined with UDB.