Coverage begins at 70% with an increase of 10% every year you use the plan until you reach the maximum 100%.  The calendar year maximum for a Delta Dental PPO Dentist is $1,700 or $1,500 for all other Delta Dental Dentists.

Phone Number: 
(866) 499-3001  
Claims Address: 
P.O. Box 997330
Sacramento, CA 95899-7330

 


 

 Benefits at a Glance

 Dental Services
PPO Dentist
 Non-PPO Dentist
Calendar Year Max
Diagnostic and Preventive
70-100%
70-100%
$1,700 for a Delta PPO Dentist
$1,500 for all other Delta Dentists
Basic Services
70-100%
70-100%

$1,700 for a Delta PPO Dentist
$1,500 for all other Delta Dentists

Crowns, Inlays, Onlays and Cast Restoration 70-100% 70-100%

 

$1,700 for a Delta PPO Dentist
$1,500 for all other Delta Dentists

 

Prosthodontic Services
50%
50%

$1,700 for a Delta PPO Dentist
$1,500 for all other Delta Dentists

Dental Accident Services
100%
100%

$1,000 for each Enrollee

Orthodontics for children only
50%
50%
$500 Lifetime Maximum for each dependent child