Never
Deductibles, Claim Forms, Annual Maximums,
Limitations on Most Pre-Existing Conditions, nor
Waiting Periods to See a Dentist!
Office
visit..............................................
$5.00
Oral
examination......................................
No Charge
Intraoral x-rays, complete series...............
No Charge
Bitewing x-rays, single
film........................ No Charge
Panoramic
x-ray....................................... No
Charge
Prophylaxis
(cleaning)............................... No
Charge
Topical fluoride
(child).............................. No Charge
Oral hygiene
instruction............................. No
Charge
See Summary
of Copayments
See Your Savings
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