Benefit

Choice of Provider

Services are provided ONLY through Willamette Dental Group

Annual Deductible
(per calendar year)

None

Annual Limit
(per calendar year)

None

Preventive/Basic Care
Exams, Cleaning, X-rays, fluoride, fillings, simple extractions, root canal therapy

None

Prosthetics
Dentures, bridges, crowns, inlays, space retainers

Fully covered after $10 visit charge

Orthodontia

100% after $10 visit charge plus $1,500 co-pay