City of Warren

Class I - Preventive (exams, cleanings, x-rays, etc.)

100%†

Class II - Basic (fillings, repairs, etc.)

90%†

Class III - Major (bridge, dentures, root canals, oral surgery, etc)

80%†

Class IV - Specialty Care (oral surgery, endodontics, periodontics, pedodontics)

50%†

Deductible

None

Primary Care Maxiumum

$1,800

Specialty Care Maximum

$800

Orthodontic Maximum (Lifetime)

$1,800 Up to age 19, $1,200 Adults 19+ Comprehensive Case Only

Office Visit Copay

$15