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Dental Services We Cover
SERVICE | COVERAGE
- Consultations | 100%
- Examinations | 100%
- X-rays/Bite-wing | 100%
- Teeth Polishing | 100%
- Fluoride Treatments
- Children under the age of 16 | 100%
- Oral Cancer Screening/excludes Vizi-Lite | 100%
- Patient Education | 100%
- Office Visits – Regular Hours | 100%
- Local Anesthetic | 100%
- Limited Equilibrations | 100%
- Emergency Exam – Regular Hours | 100%
- Amalgam (silver) Fillings | 70%
- Routine Simple Extractions | 50%
- Cosmetic Dentistry | 50%
- Composites/Tooth Colored Fillings | 50%
- Crown and Bridge | 50%
- Root Canals (Anterior) | 50%
- Dentures/Partials | 50%
- Periodontics (scaling/root planing) | 50%
- Space Maintainers | 25%
*From a participating dentist’s normal charges
SPECIALIST SERVICES
If the services of a participating specialist are required, members will receive a discount from that participating specialist.
Your general dentist may provide some specialty services at the same discount as given by our specialists. Some procedures, depending on the severity of the condition may need to be performed by a specialist not participating in our plan. These services are not a covered benefit under this plan. Not all specialist services may be available in all areas.
To learn how our pre-paid dental plans can help you get the services you need, please call us at 417.882.3787.
Get Covered
Fill out our enrollment form and mail it back to us to get the coverage you need.
Features & Benefits
We guarantee you’ll be happy with Dental Source and the programs we offer.
Request Information
Contact us today if you would like to request information on our plans.
