The table below shows an overview of what each dental plan covers. See our Which Dental Plans are Available to Me? page to find out which plans are available to you. To see more comprehensive information, view plan documents or go to Delta Dental's website.

Coverage Uniform Dental & Preventive Plan Select Plan Select Plus Plan

In-Network providers

(No out-of-network coverage)

Delta Dental PPO & Premier providers

Delta Dental PPO

Delta Dental PPO & Premier providers

Annual deductible

None

$100 / person

$25 / person

Annual benefit max

$1,000 / person

$1,000 / person

$2,500 / person

Waiting period

None

None

None

Routine evaluations, dental cleanings, sealants, bitewing and panoramic X-rays, fluoride treatments, pulp vitality tests

100%

No coverage

No coverage

Fillings

100%

No coverage

No coverage

Anesthesia (general and IV sedation)

80%

50%

80%

Emergency pain relief

80%

No coverage

No coverage

Periodontal maintenance

100%

No coverage

No coverage

Crowns, bridges, dentures, implants

No coverage

50%

60%

Surgical extraction, root canal (endodontics), periodontics (except maintenance), oral surgery

No coverage

50%

80%

Non-surgical extractions  (above gumline)

90%

No coverage

No coverage

Orthodontics coverage

50%

(Under age 19)

No coverage

50%

(Any age)

Orthodontics lifetime maximum

$1,500

No coverage

$1,500