The CA90 Plan Is Our Basic HMO Plan

For Individuals and Families

 

For Individuals and Families that want Basic Dental Care Benefits and want a plan that will reduce the out of pocket expense for Cleanings, Fillings, and Diagnostic Care. You may visit any Network Dentist in the state of California and receive the same quality coverage. There are no monthly premium payments and no waiting periods for any major covered procedures.

Partial List of Procedures	With Dental Plan CA90 Plan You Pay the Dentist A Co-Pay		What a Dentist Will Charge Without Insurance*
Exam	You pay the dentist $10		$81
X-Rays	You pay the dentist $24		$119
Cleaning (Prophylaxis) 2 per year	You pay the dentist $17		$75
Filling (1 Surface on One Tooth)	You pay the dentist $45		$90
Deep Cleaning (Periodontal Scaling)	You pay the dentist $75 (Per Quad)		$200
Porcelain Crown (Molar Teeth)	You pay the dentist $690		$800 to $1,070
Root Canal (Bicuspid Tooth)	You pay the dentist $440		$952
Orthodontics (Start-Up Fees)	You pay the dentist $175		$350
Dentures (Full Upper)	You pay the dentist $500		$1,451
Extractions (Erupted Tooth)	You pay the dentist $89		$254

Click Here
For Complete Coverage and
Detailed Co-Payment Schedule