Senior Dental Coverage - Blue Cross Blue Shield of Georgia
Senior Dental Coverage - Blue Cross Blue Shield of Georgia
Senior Dental Coverage - Blue Cross Blue Shield of Georgia
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Major <strong>Dental</strong> Care• <strong>Coverage</strong> begins after the Plan has beenin effect for twelve continuous months.• The benefit schedule is the same for alldentists, but you may pay more if youchoose a non-contracting dentist.PROCEDUREPLAN PAYSScaling/Root Planing per Quadrant $41Gingivectomy or Gingioplasty - per tooth $26Gingivectomy - per quadrant $120Root Canal - 1 canal(excl. Final restoration) $130Root Canal - 2 canals(excl. Final restoration) $155Root Canal - 3 canals(excl. Final restoration) $195Crown (except stainless steel) $215Pontic $215Complete Denture (upper or lower) $255Partial Denture (upper or lower) $235Denture Reline (chair-side) $55Denture Reline (lab) $707