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Preventive / Basic Services

Preventive and basic services cover routine and common dental procedures that maintain and restore oral health. Preventive services include cleanings, X-rays, and exams, while basic services include fillings, extractions, and simple restorative work.

These services form the foundation of most dental plans and are usually covered at higher percentages, between 70 and 100 percent. Many plans provide immediate access to preventive care and impose short waiting periods for basic treatments.

Example:

If a filling costs $200 and your plan covers 80 percent for basic dental, the insurer pays $160 and you pay $40.

What to Watch For:

Annual or combined maximums may limit how much you can claim in total for preventive and basic services combined.

See also Preventive (Dental Subcategory)

Related Terms

Preventive (Dental Subcategory)

Preventive dental care focuses on maintaining oral health through regular cleanings, examinations, and minor treatments. It helps detect issues early, reducing the need for major dental work later. Services in this category include exams, X-rays, scaling, polishing, fluoride treatments, and sealants for children.

Periodontics

Periodontics is the area of dentistry concerned with the prevention, diagnosis, and treatment of gum disease and supporting bone structures around the teeth. Treatments may include deep cleaning (scaling and root planning), gum grafts, and maintenance therapy.

Major Restorative

Major restorative coverage includes complex dental procedures designed to restore the function and appearance of teeth. Examples include crowns, bridges, onlays, dentures, and sometimes implants. These treatments are more extensive and expensive than basic restorative services such as fillings.

Per Incident

Per incident refers to the way certain insurance benefits are calculated or limited based on each separate event, illness, or accident rather than by year or lifetime. When a benefit is paid “per incident,” it means you are eligible for reimbursement each time a new, distinct occurrence happens, up to the maximum amount specified for that type of claim.

Dentist

A dentist is a licensed healthcare professional who diagnoses, treats, and helps prevent conditions affecting the teeth, gums, and mouth. Dentists play a key role in maintaining oral health through preventive care, restorative treatments, and patient education. Common services include cleanings, fillings, crowns, root canals, extractions, and oral examinations.

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