Dental plans

Providence dental plans provide comprehensive benefits that help promote good health, and are available when paired with a Providence medical plan. With Providence Dental, members have access to more than 2,000 in-network dental provider listings in Oregon and southwest Washington and more than 280,000 in-network provider listings nationwide. Searching for a dentist is easy; visit our provider directory.

Plan features

  • Eight dental plan options (four plans with orthodontia coverage and four without)
  • Plus Plan options offer the same comprehensive benefits with a $1,500 lifetime maximum for orthodontia services
  • Robust coverage for services received both in and outside the network
  • Access to our national network of dental providers with over 280,000 dentist listings
  • No waiting periods
  • No deductible for in-network diagnostic and preventive services
  • In-network diagnostic and preventive services covered in full
  • Diagnostic and preventive services do not apply toward calendar year benefit maximum

Download the large group dental plan member handbook (PDF) ›
Download the large group dental plus plan member handbook (PDF) ›

Essential, Classic and Premium Dental plans

Essential Dental Plan

Calendar year costs

  • Common deductible (per person): $50
  • Common deductible (per family): $150
  • Benefit maximum: $1,000
  You pay
  In-network Out-of-network 
Diagnostic & preventive care 
(routine exams, cleanings, bitewing X-rays, topical fluoride for age 16 and younger)* 
$0; services covered in full 10%
Basic care 
(restorative fillings and extractions)
20% 30%
Endodontics, periodontics, oral surgery, including root canals
20% 30%
Major care 
(crowns, dentures, bridge work)
50% 60%
Orthodontics – optional
$1,500 lifetime maximum benefit available on Essential Plus plans
Reimbursement MAC** MAC**

* Services do not apply to member’s calendar year benefit maximum.
** MAC is Maximum Allowable Charge by the provider. Balance billing may apply for out-of-network services.



Classic Dental Plan

Calendar year costs

  • Common deductible (per person): $50
  • Common deductible (per family): $150
  • Benefit maximum: $1,500
  You pay
  In-network Out-of-network 
Diagnostic & preventive care 
(routine exams, cleanings, bitewing X-rays, topical fluoride for age 16 and younger)* 
$0; services covered in full 10%
Basic care 
(restorative fillings and extractions)
20% 30%
Endodontics, periodontics, oral surgery, including root canals
20% 30%
Major care 
(crowns, dentures, bridge work)
50% 60%
Orthodontics – optional
$1,500 lifetime maximum benefit available on Classic Plus plans
Reimbursement MAC** MAC**

* Services do not apply to member’s calendar year benefit maximum.
** MAC is Maximum Allowable Charge by the provider. Balance billing may apply for out-of-network services.



Premium Dental Plan

Calendar year costs

  • Common deductible (per person): $50
  • Common deductible (per family): $150
  • Benefit maximum: $2,000
  You pay
  In-network Out-of-network 
Diagnostic & preventive care 
(routine exams, cleanings, bitewing X-rays, topical fluoride for age 16 and younger)* 
$0; services covered in full 10%
Basic care 
(restorative fillings and extractions)
20% 30%
Endodontics, periodontics, oral surgery, including root canals
20% 30%
Major care 
(crowns, dentures, bridge work)
50% 60%
Orthodontics – optional
$1,500 lifetime maximum benefit available on Premium Plus plans
Reimbursement MAC** MAC**

* Services do not apply to member’s calendar year benefit maximum.
** MAC is Maximum Allowable Charge by the provider. Balance billing may apply for out-of-network services.



Classic Access Dental Plan

Calendar year costs

  • Common deductible (per person): $50
  • Common deductible (per family): $150
  • Benefit maximum: $1,500
  You pay
  In-network Out-of-network 
Diagnostic & preventive care 
(routine exams, cleanings, bitewing X-rays, topical fluoride for age 16 and younger)* 
$0; services covered in full 10%
Basic care 
(restorative fillings and extractions)
20% 20%
Endodontics, periodontics, oral surgery, including root canals
20% 20%
Major care 
(crowns, dentures, bridge work)
50% 50%
Orthodontics – optional
$1,500 lifetime maximum benefit available on Classic Access Plus plans
Reimbursement MAC** 90% of UCR

* Services do not apply to member’s calendar year benefit maximum.
** MAC is Maximum Allowable Charge by the provider.  



For more information

Contact us to learn more about Providence Dental plans.

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