Benefit Summary

Learn how Altus Dental for 1 can save you money
Here's an at-a-glance look at some of the most frequently used benefits and how much you would pay for each service under the Altus Dental for 1 plan.


Procedure Average Cost in Your Area You Pay* in Network You Save on Average
Diagnostic
PERIODIC ORAL EVALUATION $46.00 $0.00 $46.00
COMPREHENSIVE ORAL EVALUATION $85.00 $25.00 $60.00
COMPLETE SERIES OF X-RAYS $137.00 $50.00 $87.00
BITEWING X-RAYS - TWO $53.00 $10.00 $43.00
PANORAMIC X-RAY $116.00 $50.00 $66.00
Preventive
PROPHYLAXIS - ADULT $89.00 $25.00 $64.00
SEALANTS - PER PERMANENT MOLAR $50.00 $25.00 $25.00
Restorative
AMALGAM - TWO SURFACES, PRIMARY OR PERMANENT $160.00 $60.00 $100.00
RESIN - TWO SURFACES, ANTERIOR $184.00 $80.00 $104.00
RESIN-FOUR+ SURF/INCISAL ANGLE, ANTERIOR $289.00 $110.00 $179.00
Other Services
PALLIATIVE (EMERGENCY) TREAMENT OF DENTAL PAIN $125.00 $25.00 $100.00

* Note: Your out-of-pocket costs will be higher if you receive services from a dentist that is not part of our network.

To review exclusions and limitations, click here.