Cleanings and Exams
Coverage Status: COVERED
Routine cleanings and exams are fully covered with no prior authorization needed.
Details
| Service | Frequency | Cost |
|---|---|---|
| Routine cleaning (prophylaxis) | 2x per year | $0 |
| Periodic oral exam | 2x per year | $0 |
| Comprehensive oral exam | 1x every 3 years per location | $0 |
| Full mouth X-rays | 1x every 5 years | $0 |
| Bitewing X-rays | 1x every 5 years per provider | $0 |
| Panoramic X-rays | 1x every 5 years per provider | $0 |
If You Haven't Been to the Dentist in a While
If there's significant buildup of tartar/calculus, your dentist may need to do a full mouth debridement before a regular cleaning. This is also covered:
| Service | Frequency | Cost |
|---|---|---|
| Full mouth debridement | 1x every 3 years | $0 |
If You Have Gum Disease
If your dentist diagnoses periodontal disease, you may need:
| Service | Frequency | Cost | Prior Auth? |
|---|---|---|---|
| Periodontal maintenance | 2x per year | $0 | No |
| Scaling/root planing | 1x every 3 years per quadrant | $0 | Yes |
Healthy Behavior Rewards
DentaQuest offers Healthy Behavior Rewards for going to the dentist regularly. You can earn rewards just for getting preventive care. Check with DentaQuest or visit dentaquest.com/extra-benefits.
See also: Coverage Summary | Your Treatment Plan