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MONTHLY | PREVENTIVE DENTAL |
Employee Only | $27 |
Employee + Spouse | $43 |
Employee + Child(ren) | $42 |
Family | $62 |
In-Network | Out-of-Network |
Preventive & Diagnostic Exams; Cleanings; Bitewing X-Rays; Full Mouth X-Rays; Fluoride Treat- |
Covered at 100% |
Annual Maximum (per person) |
$1,000 |
Annual Deductible Per Person |
None |
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