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What Is Covered by PPO Dental Insurance?

Each dental plan categorizes basic and major procedures slightly differently, so if you need dental work done, you will have to check with your specific plan. Although there are minimal differences in PPO dental plans in terms of what they cover and their costs, most PPO plans offer similar coverage for the following procedures.

Preventative Care Services (full coverage):

Annual or semi-annual visits for cleanings

X-rays

Sealants

Fluoride treatments

Basic Procedures with Discounted Co-Insurance Fee:

Treatment for Gum Disease

Fillings

Root canals

Extractions

Major Procedures with Discounted Co-Insurance Fee:

Crowns

Bridges

Inlays

Dentures

Root Canals (on some plans)

Most dental insurance, including PPO plans, will not cover any cosmetic procedures. This generally includes teeth whitening, shaping, veneers or any gum contouring. These treatments are only meant to improve the look of teeth and are not medically necessary. Anything that is not essential to the oral health of a patient must be covered by the patient in full.