Unless required by applicable law, verification of benefits or eligibility is not an authorization or guarantee of payment. Payment can only be made after the claim has been received and reviewed in regards to eligibility, benefits, dental necessity, outstanding deductibles and maximums as well as other plan limitations and or exclusions. If differences exist between the information displayed here and your Certificate of Coverage, the Certificate will govern. All terms and conditions are subject to applicable state and federal laws.

Please refer to the last page of the fee schedule for important footnotes if applicable to your plan. Listed rates are plan payment only and exclude member responsibility. Please review coverage and deductible to determine member responsibility.