Diagnostic services

Your plan type is Delta Dental PPO™

Your plan covers a percentage of your dental treatment costs. The portion you pay is called coinsurance.
You can visit any dentist in any network. Your coverage and costs will vary by dentist and the dentist's network.

Coverage for Quin Parker

Coverage can vary depending on the dentist you go to and the network that dentist is in. For the most savings go to a dentist in the Delta Dental PPO network.

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Procedures & servicesAge limits & plan coverage for
Delta Dental PPO
Out-of-pocket
cost estimate
Periodic oral exam
Procedure code: D0120
No age limit80%
Cost estimate
coming soon
Limited oral exam
Procedure code: D0140
No age limit100%
Cost estimate
coming soon
Oral exam - child
Procedure code: D0145
Child up to age 3100%
Cost estimate
coming soon
Comprehensive oral exam
Procedure code: D0150
No age limit100%
Cost estimate
coming soon
Detailed oral exam
Procedure code: D0160
No age limit100%
Cost estimate
coming soon
Oral re-evaluation
Procedure code: D0170
No age limit100%
Cost estimate
coming soon
Comprehensive gum exam
Procedure code: D0180
No age limit100%
Cost estimate
coming soon
Patient screening
Procedure code: D0190
No age limit100%
Cost estimate
coming soon
Patient assessment
Procedure code: D0191
No age limit100%
Cost estimate
coming soon
Full head x-ray
Procedure code: D0340
No age limit100%
Cost estimate
coming soon
Current Dental Terminology (CDT) © American Dental Association (ADA). All rights reserved.
This information is based on our records and claims processed as of the day you accessed this system. This is not an authorization, nor a guarantee of eligibility, benefits, or payment.