Get a Health Quote
.: What is Insurance
.: Work with an Agent
.: Companies
 
.: Individual & Family
.: Dental Insurance
 
.: Student Health Insurance
.: Travel Insurance
.: Medicare Supplement
.: Term Life Quote
HEALTH QUOTE FINDER
Select One
 
Our Health Guarantee
Quality Insurance
We promise to give you quality medical coverage at an affordable cost.
Timely Service
QuoteFinder.Org is dedicated to a no-nonsense approach to health insurance. We focus on giving you the insurance you need in a timely and cooperative manner.

Sitemap

 
HEALTH ABOUT US CONTACT US HEALTH QUOTE DENTAL

Humana One Dental Insurance

     PPO Dental Insurance By Humana One. Visit the link below.

Get Quote / See Benefits / Apply Online

This Humana One product is best for people in a real bind, people who need attention sooner than later. Traditionally, this product is best for people who normally do NOT visit the dentist and through neglect have developed  dental concerns. For people who see the dentist twice a year, and dental healthcare is a priority, we strongly recommend you spend a little extra money and buy a dental insurance policy though United.

Humana One offers a range of dental products across the country. Many plan options only cost between $14 and $20 per a month per a person.

Family dental plans are available through Humana One at $55 - $80 a month. Many services are covered immediately with the plan effective date.

Humana Dental Insurance

The Humana One Dental HI215 and C550 have you covered for any circumstance. Whether you need routine dental visits or unexpected crown or root canal treatment.

*No waiting periods 

*No claims to file 

*No annual maximums

What your dental policy covers.

Below is a summary of Dental C550 and HI215.

*Participating ipating general dentist as your primary care dentist.

*Life without claim forms! With the HumanaOne Dental Prepaid HI215 plan you pay your dentist directly, when applicable.

*Your primary care dentist will provide all of your routine dental care and any copayment or discounted charges will be paid at the time of service.

Humana Dental Coverage

Be healthy

Good dental health means a great smile. Normal dental health, preventive care and regular cleanings are super important to overall health. Your doctor and dentist can confirm there is a link between gum disease and heart problems. Dental Insurance allows you to take care of your teeth and gums.

Get Quote / See Benefits / Apply Online 

Save time call 877-256-8299.

Humana One offers a range of dental products across the country. Many plan options only cost between $14 and $20 per a month per a person.

Family dental plans are available through Humana One at $55 - $80 a month. Many services are covered immediately with the plan effective date.

 

Summary of services for Humana HI215

 (scroll below to see C550)

Services marked with a single asterisk (*) below also require separate payment of laboratory charges. The laboratory charges must be paid to the plan dentist in addition to any applicable copayment for the service.

HI215 Appointments member pays

D9310 Consultation (diagnostic service provided by dentist other than practitioner providing treatment). . . . . . . . $ 45.00

D9430 Office visit (normal hours) . . . . . . . . . . . . . . . . . . . . . $ 15.00

D9440 Office visit (after regularly scheduled hours) . . . . . . . . $ 55.00

D9999 Broken appointments (without 24 hr. notice, per 15 min) maximum $40 per broken appointment.No charge will be made due to emergencies. . . . . . . . $ 10.00

HI215 Diagnostic member pays

D0120 Periodic oral examination (two per calendar year). . . . no charge

D0140 Limited/comprehensive/detailed and extensive oral eval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . no charge

D0145 Oral evaluation for a patient under three years of age and counseling with primary caregiver. . . . . . . . . no charge

D0150 Limited/comprehensive/detailed and extensive oral eval (two per calendar year). . . . . . . . . . . . . . . . . . . . no charge

D0160 Limited/comprehensive/detailed andextensive oral eval. . . . . . . . . . . . . . . . . . . . . . . . . . . . no charge

D0170 Re-evaluation problem focused (not post-operative visit). . . . . . . . . . . . . . . . . . . . . . . . . . . no charge

D0180 Comprehensive periodontal evaluation (two per calendar year). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 35.00

D0210 X-ray intraoral complete series including bitewings (once per three calendar years). . . . . . . . . . no charge

D0220 X-ray intraoral periapical, first film. . . . . . . . . . . . . . no charge

D0230 X-ray intraoral periapical, each additional film. . . . . no charge

D0240 X-rays intraoral occlusal film. . . . . . . . . . . . . . . . . . . no charge

D0250 Extraoral first film. . . . . . . . . . . . . . . . . . . . . . . . . . . no charge

D0260 Extraoral each additional film. . . . . . . . . . . . . . . . . . no charge

D0270 X-ray bitewing single film (two per calendar year). . . no charge

D0272 X-ray bitewings two films (two per calendar year). . . no charge

D0273 X-ray bitewings three films (two per calendar year). . no charge

D0274 Bitewings four films (two per calendar year). . . . . . . no charge

D0277 X-ray bitewings, vertical seven to eight films (two per calendar year). . . . . . . . . . . . . . . . . . . . . . . . . . . . no charge

D0330 Panoramic film (once per three calendar years). . . . . . no charge

D0350 Oral/facial photography images. . . . . . . . . . . . . . . . . . no charge

D0415 Collect microorganisms culture & sensitivity. . . . . . . . no charge

D0425 Caries susceptibility tests. . . . . . . . . . . . . . . . . . . . . . . no charge

D0431 Oral cancer screening using a special light source. . . . $ 70.00

D0460 Pulp vitality tests (not covered if a root canal is performed). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . no charge

D0470 Diagnostic casts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . no charge

D0472 Pathology report gross examination of lesion. . . . . . no charge

D0473 Pathology report microscopic examination of lesion. no charge

D0474 Pathology report microscopic examination of lesion and area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . no charge

HI215 Preventive member pays

D1110 Prophylaxis adult, routine (two per calendar year, by primary care dentist). . . . . . . . . . . . . . . . . . . . . . . . no charge

D1120 Prophylaxis child, routine (two per calendar year). . . no charge

D1203 Topical application of fluoride (not including prophylaxis) child (up to 16 years of age) (two per calendar year). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . no charge

D1204 Topical application of fluoride adult (two per calendar year, by primary care dentist). . . . . . . . . . . . . no charge

D1206 Topical fluoride varnish (for child <16) (two per calendar year). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . no charge

D1310 Nutrition counseling for the control or avoidance of dental disease. . . . . . . . . . . . . . . . . . . . . . . . . . . . . no charge

D1320 Tobacco counseling services for the control or prevention of oral disease. . . . . . . . . . . . . . . . . . . . . . no charge

D1330 Oral hygiene instruction. . . . . . . . . . . . . . . . . . . . . . . no charge

D1351 Sealant per tooth (permanent teeth only to age 16). $ 20.00

D1510* Space maintainer fixed, unilateral (through age 14). $ 95.00

D1515* Space maintainer fixed, bilateral (through age 14). . $135.00

D1520* Space maintainer removable, unilateral (through age 14). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $105.00

D1525* Space maintainer removable, bilateral (through age 14). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $115.00

D1550 Recementation of space maintainer. . . . . . . . . . . . . . $ 20.00

HI215 Restorative member pays

D2140 Amalgam one surface, primary or permanent. . . . . . $ 30.00

D2150 Amalgam two surfaces, primary or permanent. . . . . $ 35.00

D2160 Amalgam three surfaces, primary or permanent. . . . $ 40.00

D2161 Amalgam four or more surfaces, primary or permanent. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 45.00

D2940 Sedative filling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 25.00

HI215 Resin restorative (inlays/onlays limited one per tooth every five years) member pays:

D2330 Resin based composite one surface, anterior. . . . . . $ 45.00

D2331 Resin based composite two surfaces, anterior. . . . . . $ 60.00

D2332 Resin based composite three surfaces, anterior. . . . . $ 75.00

D2335 Resin based composite four or more surfaces or involving incisal angle (anterior). . . . . . . . . . . . . . . . . $ 95.00

D2390 Resin based composite crown, anterior. . . . . . . . . . $ 90.00

D2391 Resin based composite one surface, posterior. . . .. . $ 70.00

D2392 Resin based composite two surfaces, posterior. . . . . $ 90.00

D2393 Resin based composite three surfaces, posterior. . . . $ 110.00

D2394 Resin based composite four + surfaces, posterior.. . . $ 130.00

D2510* Inlay metallic, one surface. . . . . . . . . . . . . . . . . . . $345.00

D2520* Inlay metallic, two surfaces. . . . . . . . . . . . . . . .. . . $ 355.00

D2530* Inlay metallic, three or more surfaces. . . . . . . .  . . . $ 365.00

D2542* Onlay metallic, two surfaces . . . . . . . . . . . . . .  . . . $ 370.00

D2543* Onlay metallic, three surfaces. . . . . . . . . . . . . .. . . . $ 380.00

D2544* Onlay metallic, four or more surfaces . . . . . . . . . . . .$ 390.00

D2610* Inlay porcelain/ceramic, one surface. . . . . . . . . . . . . $ 370.00

D2620* Inlay porcelain/ceramic, two surfaces. . . . . . . . . . . . $380.00

D2630* Inlay porcelain/ceramic, three or more surfaces. . . . . $390.00

D2642* Onlay porcelain/ceramic, two surfaces. . . . . . . . . . . $395.00

D2643* Onlay porcelain/ceramic, three surfaces. . . . . . . . . . $405.00

D2644* Onlay porcelain/ceramic, four or more surfaces. . . . . $415.00

D2650* Inlay resin based composite, one surface. . . . . . . . . $345.00

D2651* Inlay resin based composite, two surfaces. . . . . . . . . $355.00

D2652* Inlay resin based composite, three or more surfaces. $365.00

D2662* Onlay resin based composite, two surfaces. . . . . . . . $370.00

D2663* Onlay resin based composite, three surfaces. . . . . . . $380.00

D2664* Onlay resin based composite, four or more surfaces. $410.00

HI215 Crown and bridge (limited to one per tooth every five years) member pays:

D2710* Crown resin based composite, indirect. . . . . . . . . . . $ 410.00

D2712* Crown 3/4 resin based composite, indirect. . . . . . . . $ 410.00

D2720* Crown resin with high noble . . . . . . . . . . . . . . $ 410.00

D2721 Crown resin with predominantly base . . . . . . . $410.00

D2722* Crown resin with noble . . . . . . . . . . . . . . . . . . $ 410.00

D2740* Crown porcelain/ceramic substrate. . . . . . . . . . . . . . $ 410.00

D2750* Crown porcelain fused to high noble . . . . . . . $ 410.00

D2751 Crown porcelain fused to predominantly base  $ 410.00

D2752* Crown porcelain fused to noble . . . . . . . . . . $ 410.00

D2780* Crown 3/4 cast high noble . . . . . . . . . . . . . . $ 410.00

D2781 Crown 3/4 cast predominantly base. . . . . . . . $410.00

D2782* Crown 3/4 cast noble . . . . . . . . . . . . . . . . . $410.00

D2783* Crown 3/4 porcelain/ceramic. . . . . . .  . . . . . . . . $ 410.00

D2790* Crown full cast high noble . . . . . . . . . . . . . $ 410.00

D2791 Crown full cast predominantly base . . . . . . . . $ 410.00

D2792* Crown full cast noble . . . . . . . . . . . . . . . . . $ 410.00

D2794* Crown titanium. . . . . . . . . . . . .. . . . . . . . . . . . . $ 410.00

D2799 Provisional crown. . . . . . . . . . . . . . . . . . . . . . no charge

D2910 Recement inlay, onlay or veneer. . . . . . . . . . . . . . . . . $ 25.00

D2915 Recement cast or prefabricated post and core. . . . . . . no charge

D2920 Recement crown. . . . . . . . . . . . . . . . . . . . . . . . . . . $ 25.00

D2930 Prefabricated stainless steel crown primary tooth. . . $ 110.00

D2931 Prefabricated stainless steel crown permanent tooth. $ 35.00

D2932 Prefabricated resin crown. . . . . . . . . . . . . . . . . . . . . . $ 110.00

D2933 Prefabricated stainless steel crown with resin window $ 110.00

D2934 Prefabricated esthetic coated stainless steel crown primary tooth.

. . . . . . . . . . . . . . . . . . . . . . . $ 110.00

D2950 Core buildup, including any pins. . . . . . . . . . . . . . . . . $ 80.00

D2951 Pin retention per tooth, in addition to restoration. . . $ 25.00

D2952* Cast post and core in addition to crown. . . . . . . . . . . $ 175.00

D2953* Each additional cast post same tooth. . . . . . . . . . . . $ 140.00

D2954 Prefabricated post and core in addition to crown. . . . $ 120.00

D2955 Post removal. . . . . . . . . . . . . . . . . . . .. . . . $20.00

D2957 Each prefabricated post same tooth, base metal post . . $ 45.00

D2960 Labial veneer (resin laminate) chairside. . . . . . . . . . . $ 290.00

D2961* Labial veneer (resin laminate) laboratory. . . . . . . . . . $ 425.00

D2962* Labial veneer (porcelain laminate) laboratory. . . . . . $ 475.00

D2971 Additional procedure new crown existing partial denture. $ 70.00

D2980 Crown repair. .. . . . . . . . . . . . . . . . . . . . . . . . . . . $ 25.00

D6940 Stress breaker . . . . . . . . . . . . . . . . . . . $ 170.00

D6950 Precision attachment. . . . . . . . . . . . . . . $ 220.00

D6970* Cast post and core, in addition to fixed partial denture retainer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 120.00

D6972 Prefabricated post and core in addition to fixed partial denture retainer, base post. . . . . . . . . . . . . . . . $ 120.00

D6976* Each additional cast post same tooth. . . . . . . . . . . . $ 100.00

D6977 Each additional prefabricated post same tooth. . . . . $ 100.00

HI215 Prosthodontics (fixed) (replacement limited to every five years, adjustments once per year) member pays

D6210* Pontic cast high noble . . . . . . . . . . . . . $ 410.00

D6211 Pontic cast predominantly base . . . . . . . $ 410.00

D6212* Pontic cast noble . . . . . . . . . . . . . . . . $ 410.00

D6240* Pontic porcelain fused to high noble . . . $ 410.00

D6241 Pontic porcelain fused to base metal .$ 410.00

D6242* Pontic porcelain fused to noble . . . . . . . $ 410.00

D6750* Crown porcelain fused to base. . . . . . . $ 410.00

D6751 Crown porcelain fused to base metal......$ 410.00

D6752* Crown porcelain fused to noble . . . . . . . $ 410.00

D6790* Crown full cast high noble . . . . . . . . $ 410.00

D6791 Crown full cast predominantly base metal. . . . . . . . $ 410.00

D6792* Crown full cast noble. . . . . . . . . . . . . . $ 410.00

D6794* Crown titanium. . . . . . . . . . . . . . . . . . $410.00

D6930 Recement fixed partial denture (per unit) . . .$ 45.00

D6973 Core buildup for retainer, including any pins. . . . . . . . $ 70.00

HI215 Prosthodontics (replacement limited to every five years) member pays

D5110* Complete denture maxillary. . . . . . . . . . . . . . . . . . . $ 550.00

D5120* Complete denture mandibular. . . . . . . . . . . . . . . . . $ 550.00

D5130* Immediate denture maxillary. . . . . . . . . . . . . . . . . . .$ 550.00

D5140* Immediate denture mandibular. . . . . . . . . . . . . . . . .$ 550.00

D5211* Maxillary partial denture resin base. . . . . . . . . . . . . . $ 495.00

D5212* Mandibular partial denture resin base. . . . . . . . . . . . $ 495.00

D5213* Maxillary partial denture cast framework,resin denture bases. . . . . . . . . . . . . . . . . . . . . . . . . . . $ 525.00

D5214* Mandibular partial denture cast framework,resin denture bases. . . . . . . . . . . . . . . . . . . . . . . . . . . $ 525.00

D5225* Maxillary partial denture flexible (including clasps, rests and teeth). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 525.00

D5226* Mandibular partial denture flexible (including clasps, rests and teeth). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 525.00

D5281* Removable partial denture one piece cast . $ 445.00

D5410 Adjust complete denture maxillary. . . . . . . $ 25.00

D5411 Adjust complete denture mandibular . . . . . $ 25.00

D5421 Adjust partial denture maxillary. . . .. . . . . $ 25.00

D5422 Adjust partial denture mandibular. .  . . . . $ 25.00

D5660* Add clasp to existing partial denture. . . . . . . . . . . . $ 110.00

HI215 Endodontics (each procedure limited to once per tooth per life) member pays

D3110 Pulp cap direct (excluding final restoration). . . . . . . . $ 25.00

D3120 Pulp cap indirect (excluding final restoration). . . . . . $ 20.00

D3220 Therapeutic pulpotomy. . . . . . . . . . . . . . . . . . . . . . . . $ 65.00

D3221 Pulpal debridement, primary and permanent teeth. . . $ 135.00

D3230 Pulpal therapy (resorbable filling) anterior, primary tooth (excluding final restoration). . . . . . . . . . . . . . . . $ 65.00

D3240 Pulpal therapy (resorbable filling) posterior, primary tooth (excluding final restoration). . . . . . . . . . . . . . . . $ 100.00

D3310 Root canal therapy anterior(excluding final restoration). . . . . . . . . . . . . . . . . . . . . $ 175.00

D3320 Root canal therapy bicuspid(excluding final restoration). . . . . . . . . . . . . . . . . . . . . $ 270.00

D3330 Root canal therapy molar(excluding final restoration). . . . . . . . . . . . . . . . . . . . . $ 390.00

D3331 Treatment of root canal obstruction non-surgical access. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 110.00

D3332 Incomplete endodontic therapy inoperable or fractured tooth. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 110.00

D3333 Internal root repair of perforation defects. . . . . . . . . . $ 120.00

D3351 Apexification/recalcification initial visit. . . . . . . . . . . $ 140.00

D3352 Apexification/recalcification interim. . . . . . . . . . . . . $ 100.00

D3353 Apexification/recalcification final visit. . . . . . . . . . . . $ 140.00

D3410 Apicoectomy/periradicular surgery anterior. . . . . . . . $ 210.00

D3421 Apicoectomy/periradicular surgery bicuspid (first root).$ 220.00

D3425 Apicoectomy/periradicular surgery molar (first root). $ 220.00

D3426 Apicoectomy/periradicular surgery (each additional root) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 90.00

D3430 Retrograde filling per root. . . . . . . . . . . . . . . . . . . . $ 55.00

D3450 Root amputation per root (not covered in conjunction with procedure D3920). . . . . . . . . . . . . . . . . . . . . . . . $ 130.00

D3910 Surgical procedure to isolate tooth with rubbed dam. . $ 50.00

D3920 Hemisection not included in root canal therapy. . . . . . $ 120.00

D3950 Root canal prepare and fit preformed dowel/post . . . . $ 25.00

HI215 Periodontics (gum treatment) member pays

D4210 Gingivectomy/gingivoplasty four or more teeth, per quadrant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 195.00

D4211 Gingivectomy/gingivoplasty per tooth one to three teeth, per quadrant. . . . . . . . . . . . . . . . . . . . . . $ 100.00

D4240 Gingival flap, including root planing four or more teeth, per quadrant . . . . . . . . . . . . . . . . . . . . . . . . . . $ 220.00

D4241 Gingival flap, including root planing one to three teeth, per quadrant. . . . . . . . . . . . . . . . . . . . . . . . . . . $ 150.00

D4245 Apically positioned flap. . . . . . . . . . . . . . . . . . . . . . . . $ 225.00

D4249 Clinical crown lengthening hard tissue. . . . . . . . . . . $ 220.00

D4260 Osseous surgery four or more teeth or bounded spaces, per quadrant . . . . . . . . . . . . . . . . . . . . . . . . . $ 425.00

D4261 Osseous surgery one to three teeth, per quadrant. . $ 400.00

D4263 Bone replacement graft first site in quadrant. . . . . . $ 290.00

D4264 Bone replacement graft each additional site in quadrant bone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 200.00

D4265 Biological materials which can aid soft and osseous tissue regeneration. . . . . . . . . . . . . . . . . . . . . . . . . . . $ 135.00

D4266 Guided tissue regeneration resorbable barrier, per site. $ 360.00

D4267 Guided tissue regeneration nonresorbable barrier, per site (includes membrane removal). . . . . . . . . . . . . $ 425.00

D4270 Pedicle soft tissue graft procedure. . . . . . . . . . . . . . . . $335.00

D4271 Free soft tissue graft procedure (including donor site surgery). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 340.00

D4273 Subeptithelial connective tissue graft, tooth. . . . . . . . $ 425.00

D4274 Distal or proximal wedge procedure. . . . . . . . . . . . . . $ 120.00

D4275 Soft tissue allograft. . . . . . . . . . . . . . . . . . . . . . . . . . . $ 460.00

D4320 Provisional splinting intracoronal. . . . . . . . . . . . . . . . $ 135.00

D4321 Provisional splinting extracoronal. . . . . . . . . . . . . . . $ 115.00

D4341 Periodontal scaling and root planing, per quadrant (a maximum of four quadrants will be paid in any combinations, per 24 calendar months for procedures D4341 and D4342). . . . . . . . . . . . . . . . . . . . . . . . . . . $ 85.00

D4342 Periodontal scaling and root planing one to three teeth per quadrant (a maximum of four quadrants will be paid in any combinations, per 24 calendar months for procedures D4341 and D4342). . . . . . . . . . . . . . . . . . $ 70.00

D4355 Full mouth debridement to enable comprehensive

evaluation and diagnosis (once per five calendar years). . $ 80.00

D4381 Localized delivery of chemotherapeutic agents (per tooth) (limited to once per tooth per 12 months to a maximum of three tooth sites per quadrant, and performed no less than three months following active periodontal therapy). . . . . . . . . . . . . . . . . . . . . . . . . . .$ 70.00

D4910 Periodontal maintenance (covered only after active periodontal therapy). . . . . . . . . . . . . . . . . . . . . . . . . . $ 70.00

HI215 Extractions/oral and maxillofacial surgery member pays

D7111 Coronal remnants, deciduous tooth. . . . . . . . . . . . . . no charge

D7140 Extraction, erupted tooth or exposed tooth. . . . . . . . . $ 55.00

D7210 Surgical removal of erupted tooth. . . . . . . . . . . . . . . . $ 60.00

D7220 Removal of impacted tooth soft tissue. . . . . . . . . . . $ 75.00

D7230 Removal of impacted tooth partially bony. . . . . . . . . $ 95.00

D7240 Removal of impacted tooth completely bony. . . . . . $ 135.00

D7241 Removal of impacted tooth completely bony, unusual complications by report. . . . . . . . . . . . . . . . . $ 175.00

D7250 Surgical removal of residual tooth roots. . . . . . . . . . . $ 50.00

D7260 Oroantral fistula closure. . . . . . . . . . . . . . . . . . . . . . . $ 450.00

D7261 Primary closure of a sinus perforation. . . . . . . . . . . . . $ 275.00

D7270 Tooth stabilization of accidentally avulsed or displaced tooth. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 95.00

D7280 Surgical access of an unerupted tooth (excluding wisdom teeth). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 160.00

D7282 Mobilization of erupted or malposed tooth to aid eruption. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 120.00

D7285 Biopsy of oral tissue hard (bone, tooth) . . . . . . . . . . $ 450.00

D7286 Biopsy of oral tissue soft (all others) . . . . . . . . . . . . . $ 155.00

D7287 Exfoliative cytological sample collection. . . . . . . . . . . . $ 70.00

D7288 Brush biopsy transepithelial sample collection. . . . . . $ 75.00

D7310 Alveoloplasty in conjunction withextractions per quadrant. . . . . . . . . . . . . . . . . . . . . $ 50.00

D7311 Alveoloplasty in conjunction with extractions one tothree teeth or tooth spaces, per quadrant. . . . . . . . . . $ 25.00

D7320 Alveoloplasty not in conjunction withextractions per quadrant. . . . . . . . . . . . . . . . . . . . . $ 90.00

D7321 Alveoloplasty not in conjunction with extractions oneto three teeth or tooth spaces, per quadrant. . . . . . . . $ 65.00

D7450 Removal of benign odontogenic cyst or tumor up to 1.25 cm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 210.00

D7451 Removal of benign odontogenic cyst or tumor greater than 1.25 cm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 285.00

D7471 Removal of lateral exostosis (maxilla or mandible). . . . $ 130.00

D7472 Removal of torus palatinus. . . . . . . . . . . . . . . . . . . . . $ 80.00

D7473 Removal of torus mandibularis. . . . . . . . . . . . . . . . . . $ 80.00

D7485 Surgical reduction of osseous tuberosity. . . . . . . . . . . $ 75.00

D7510 Incision and drainage of abscess intraoral soft tissue. . $ 45.00

D7970 Excision hyperplastic tissue per arch. . . . . . . . . . . . . $ 100.00

D7971 Excision of pericoronal gingival. . . . . . . . . . . . . . . . . . $ 65.00

HI215 Repairs to prosthetics member pays

D5510* Repair broken complete denture base. . . . . . . . . . . . . $ 65.00

D5520* Replace missing or broken teeth complete denture(each tooth). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 65.00

D5610* Repair resin denture base. . . . . . . . . . . . . . . . . . . . . . $ 65.00

D5620* Repair cast framework. . . . . . . . . . . . . . . . . . . . . . . . $ 65.00

D5630* Repair or replace broken clasp. . . . . . . . . . . . . . . . . . . $ 65.00

D5640* Replace broken teeth per tooth. . . . . . . . . . . . . . . . $ 65.00

D5650* Add tooth to existing partial denture . . . . . . . . . . . . . $ 60.00

D5670* Replace all teeth and acrylic framework maxillary. . . $ 255.00

D5671* Replace all teeth and acrylic framework mandibular. $ 350.00

D5710* Rebase complete maxillary denture. . . . . . . . . . . . . . . $ 230.00

D5711* Rebase complete mandibular denture. . . . . . . . . . . . . $ 230.00

D5720* Rebase maxillary partial denture. . . . . . . . . . . . . . . . . $ 230.00

D5721* Rebase mandibular partial denture. . . . . . . . . . . . . . . $ 230.00

D5730 Reline complete maxillary denture (chairside). . . . . . . .$ 110.00

D5731 Reline complete mandibular denture (chairside). . . . . .$ 110.00

D5740 Reline maxillary partial denture (chairside). . . . . . . . . . $ 110.00

D5741 Reline mandibular partial denture (chairside). . . . . . . . $ 110.00

D5750* Reline complete maxillary denture (laboratory). . . . . . $ 180.00

D5751* Reline complete mandibular denture (laboratory). . . . $ 180.00

D5760* Reline maxillary partial denture (laboratory). . . . . . . . . $ 180.00

D5761* Reline mandibular partial denture (laboratory). . . . . . . $ 180.00

D5810* Interim complete denture (maxillary). . . . . . . . . . . . . . $ 300.00

D5811* Interim complete denture (mandibular). . . . . . . . . . . . $ 300.00

D5820* Interim partial denture (maxillary). . . . . . . . . . . . . . . . $ 210.00

D5821* Interim partial denture (mandibular). . . . . . . . . . . . . . $ 210.00

D5850 Tissue conditioning, maxillary. . . . . . . . . . . . . . . . . . . $ 45.00

D5851 Tissue conditioning, mandibular. . . . . . . . . . . . . . . . . $ 45.00

D6214* Pontic titanium. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 410.00

D6245* Pontic porcelain/ceramic. . . . . . . . . . . . . . . . . . . . . . $ 410.00

D6250* Pontic resin with high noble. . . . . . . . . . $ 410.00

D6251 Pontic resin with predominantly base. . . . . $ 410.00

D6252* Pontic resin with noble. . . . . . . . . . . . . . $ 410.00

D6253* Provisional pontic. . . . . . . . . . . . . . . . . . . . . . . . . . . . no charge

D6545* Retainer cast, resin bonded fixed prosthesis. . $ 300.00

D6548* Retainer porcelain/ceramic, resin  . . . . . . . . . . $ 300.00

D6600* Inlay porcelain/ceramic, two surfaces. . . . . . . . . . . . $ 410.00

D6601* Inlay porcelain/ceramic, three or more surfaces. . . . . $ 410.00

D6602* Inlay cast high, two surfaces. . . . . . . . . $ 410.00

D6603* Inlay cast high, three or more surfaces. . $ 410.00

D6604 Inlay cast predominantly base metal, two surfaces. . $ 410.00

D6605 Inlay cast predominantly base metal, three or more surfaces. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 410.00

D6606* Inlay cast metal, two surfaces.. . . . . . . . . $ 410.00

D6607* Inlay cast noble metal, three or more surfaces. . . . . $ 410.00

D6608* Onlay porcelain/ceramic, two surfaces. . . . . . . . . . . $ 410.00

D6609* Onlay porcelain/ceramic, three or more surfaces. . . . $ 410.00

D6610* Onlay cast high noble, two surfaces. . . . . . . . $ 410.00

D6611* Onlay cast high noble, three or more surfaces. $ 410.00

D6612 Onlay cast predominantly metal, two surfaces. $ 410.00

D6613 Onlay cast predominantly metal, three or more surfaces. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 410.00

D6614* Onlay cast noble, two surfaces. . . . . . . . . . . . $ 410.00

D6615* Onlay cast noble, three or more surfaces . . . . $ 410.00

D6624* Inlay titanium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 410.00

D6634* Onlay titanium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 410.00

D6710* Crown indirect resin based composition. . . . . . . . . . $ 410.00

D6720* Crown resin with metal. . . . . . . . . . . . . . $ 410.00

D6721 Crown resin with predominantly base metal. . . . . . . $ 410.00

D6722* Crown resin with noble metal. . . . . . . . . . . . . . . . . . $ 410.00

D6740* Crown porcelain/ceramic. . . . . . . . . . . . . . . . . . . . . $ 410.00

D6780* Crown 3/4 cast high noble metal. . . . . . . . . . . . . . . $ 410.00

D6781 Crown 3/4 cast predominantly base metal. . . . . . . . $ 410.00

D6782* Crown 3/4 cast noble metal. . . . . . . . . . . . . . . . . . . $ 410.00

D6783* Crown 3/4 porcelain/ceramic, denture. . . . . . . . . . . $ 410.00

HI215 Adjunctive general service member pays

D9110 Palliative (emergency) treatment of dental pain minor procedure. . . . . . . . . . . . . . . . . . . . . . . . $ 20.00

D9215 Local anesthesia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . no charge

D9220 General anesthesia first 30 minutes (limited to the removal of partial, or complete bony impacted teeth). . . . . . . . $ 205.00

D9221 General anesthesia additional 15 minutes (limited to the removal of partial, or complete bony impacted teeth). . . . . . . . $ 95.00

D9230 Analgesia (nitrous oxide), per 15 minutes. . . . . . . . . . $ 45.00

D9241 I.V. conscious sedation first 30 minutes (limited to the removal of partial, or complete bony impacted teeth). . . . . . . . $ 205.00

D9242 I.V. conscious sedation additional 15 minutes (limited to the removal of partial, or complete bony impacted teeth). . $ 90.00

D9450 Case presentation, detailed and extensive treatment planning. . . . . . . . . . . . . . . . . . . . . . . . . . . no charge

D9951 Occlusal adjustment limited. . . . . . . . . . . . . . . . . . . $ 45.00

D9952 Occlusal adjustment complete. . . . . . . . . . . . . . . . . $ 205.00

HI215 Bleaching member pays

D9972 External bleaching per arch. . . . . . . . . . . . . . . . . . . $ 210.00

HI215 Orthodontics member pays

NOTE: Members can receive a 25 percent savings by visiting certain in-network orthodontists.

Get Quote / See Benefits / Apply Online

Humana One offers a range of dental products across the country. Many plan options only cost between $14 and $17 per a month per a person.

Family dental plans are available through Humana One at $50 - $60 a month. Many services are covered immediately with the plan effective date.

 

Summary of services for Humana C550

C550 Appointments member pays

D9310 Consultation (diagnostic service provided by dentist other than practitioner providing treatment).$ 30.00

D9430 Office visit (normal hours).$ 10.00

D9440 Office visit (after regularly scheduled hours).$ 35.00

D9999 Emergency visit during regularly scheduled hours,

by report.$ 20.00

D9999 Broken appointments (without 24 hr.notice, per 15 min) maximum $40 per broken appointment.

No charge will be made due to emergencies.$ 10.00

C550 Diagnostic member pays

D0120 Periodic oral examination.no charge

D0140 Limited/comprehensive/detailed and

extensive oral eval.no charge

D0150 Limited/comprehensive/detailed and

extensive oral eval.no charge

D0160 Limited/comprehensive/detailed and

extensive oral eval.no charge

D0180 Comprehensive periodontal evaluation.$ 25.00

D0210 X-ray intraoral complete series including bitewings.no charge

D0220 X-ray intraoral periapical, first film.no charge

D0230 X-ray intraoral periapical, each additional film.no charge

D0270 X-ray bitewing single film.no charge

D0272 X-ray bitewings two films.no charge

D0274 Bitewings four films.no charge

D0330 Panoramic film.no charge

D0460 Pulp vitality tests.no charge

D0470 Diagnostic casts.no charge

C550 Preventive member pays

D1110 Prophylaxis adult, routine (once every 6 months).no charge

D1120 Prophylaxis child, routine (once every 6 months).no charge

D1110 Prophylaxis adult/child, (additional).$ 35.00

D1120 Prophylaxis adult/child, (additional).$ 35.00

D1203 Topical application of fluoride (not including prophylaxis)

child (up to 16 years of age).no charge

D1206 Topical fluoride varnish (for child <16).no charge

D1330 Oral hygiene instruction.no charge

D1351 Sealant-per tooth.$ 20.00

D1510 Space maintainer fixed, unilateral.$ 65.00+lab

D1515 Space maintainer fixed, bilateral.$ 65.00+lab

D1520 Space maintainer removable, unilateral...........$105.00+lab

D1525 Space maintainer removable, bilateral............$105.00+lab

D1550 Recementation of space maintainer.$ 20.00

C550 Restorative member pays

D2140 Amalgam one surface, primary or permanent.$ 30.00

D2150 Amalgam two surfaces, primary or permanent.$ 35.00

D2160 Amalgam three surfaces, primary or permanent.$ 40.00

D2161 Amalgam four or more surfaces, primary or

permanent.$ 50.00

D2940 Sedative filling.$ 30.00

D2999 Sedative base (under fillings), by report.no charge

C550 Resin restorative member pays

D2330 Resin based composite one surface, anterior.$ 50.00

D2331 Resin based composite two surfaces, anterior.$ 55.00

D2332 Resin based composite three surfaces, anterior.$ 65.00

D2391 Resin based composite one surface, posterior.$ 90.00

D2392 Resin based composite two surfaces, posterior.$110.00

D2393 Resin based composite three surfaces, posterior.$ 130.00

D2394 Resin based composite four or more surfaces,

posterior.$ 150.00

D2510 Inlay metallic, one surface.$155.00

D2520 Inlay metallic, two surfaces.$ 165.00

D2530 Inlay metallic, three or more surfaces.$ 190.00

C550 Crown and bridge member pays

D2740 Crown porcelain/ceramic substrate.$370.00+lab

D2750* Crown porcelain fused to high noble.$ 370.00

D2751 Crown porcelain fused to predominantly base  $ 370.00

D2752* Crown porcelain fused to noble.$370.00

D2790* Crown full cast high noble.$ 370.00

D2791 Crown full cast predominantly base.$ 370.00

D2792* Crown full cast noble.$370.00

D2910 Recement inlay.$ 30.00

D2920 Recement crown.$ 30.00

D2930 Prefabricated stainless steel crown primary tooth.$120.00

D2950 Core buildup, including any pins.$ 60.00

D2951 Pin retention per tooth, in addition to restoration.$ 30.00

D2952 Cast post and core in addition to crown.$120.00+lab

D2953 Each additional cast post same tooth.$120.00+lab

D2954 Prefabricated post and core in addition to crown.$ 120.00

D2962 Labial veneer (porcelain laminate) laboratory.$370.00+lab

C550 Endodontics member pays

D3220 Therapeutic pulpotomy.$ 50.00

D3221 Pulpal debridement, primary and permanent teeth.$ 130.00

D3310 Root canal therapy anterior

(excluding final restoration).$ 250.00

D3320 Root canal therapy bicuspid

(excluding final restoration).$ 350.00

D3330 Root canal therapy molar

(excluding final restoration).$ 450.00

D3410 Apicoectomy/periradicular surgery anterior.$ 200.00

C550 Periodontics (gum treatment) member pays

D4210 Gingivectomy/gingivoplasty per quadrant.$ 200.00

D4211 Gingivectomy/gingivoplasty per tooth.$ 55.00

D4341 Periodontal scaling and root planing, per quadrant.$ 65.00

D4342 Periodontal scaling and root planing

1 to 3 teeth per quadrant.$ 65.00

D4355 Full mouth debridement to enable comprehensive

evaluation and diagnosis.$ 60.00

D4381 Localized delivery of chemotherapeutic agents

(per tooth).$ 60.00

D4910 Periodontal maintenance.$ 65.00

C550 Prosthodontics member pays

D5110 Complete denture maxillary.$375.00+lab

D5120 Complete denture mandibular.$375.00+lab

D5130 Immediate denture maxillary...................$375.00+lab

D5140 Immediate denture mandibular.................$375.00+lab

D5211 Maxillary partial denture resin base.$375.00+lab

D5212 Mandibular partial denture resin base.$375.00+lab

D5213 Maxillary partial denture cast framework,

resin denture bases.$375.00+lab

D5214 Mandibular partial denture cast framework,

resin denture bases.$375.00+lab

D5410 Adjust complete denture maxillary.$ 30.00

D5411 Adjust complete denture mandibular.$ 30.00

D5421 Adjust partial denture maxillary.$ 30.00

D5422 Adjust partial denture mandibular.$ 30.00

C550 Repairs to prosthetics member pays

D5510 Repair broken complete denture base.$30.00+lab

D5520 Replace missing or broken teeth complete denture

(each tooth).$30.00+lab

D5610 Repair resin denture base.$30.00+lab

D5630 Repair or replace broken clasp.$30.00+lab

D5640 Replace broken teeth per tooth.$30.00+lab

D5650 Add tooth to existing partial denture..............$45.00+lab

D5730 Reline complete maxillary denture (chairside)........$ 65.00

D5731 Reline complete mandibular denture (chairside)......$ 65.00

D5740 Reline maxillary partial denture (chairside).$ 65.00

D5741 Reline mandibular partial denture (chairside).$ 65.00

D5750 Reline complete maxillary denture (laboratory).$50.00+lab

D5751 Reline complete mandibular denture (laboratory).$50.00+lab

D5760 Reline maxillary partial denture (laboratory).$50.00+lab

D5761 Reline mandibular partial denture (laboratory).$50.00+lab

D5850 Tissue conditioning maxillary.$ 45.00

D5851 Tissue conditioning mandibular.$ 45.00

C550 Prosthodontics (fixed) member pays

D6210* Pontic cast high noble...$370.00

D6211 Pontic cast predominantly base.$ 370.00

D6212* Pontic cast noble.$ 370.00

D6240* Pontic porcelain fused to high noble.$ 370.00

D6241 Pontic porcelain fused to predominantly base $ 370.00

D6242* Pontic porcelain fused to noble.$ 370.00

D6750* Crown porcelain fused to high...$ 370.00

D6751 Crown porcelain fused to predominantly base $370.00

D6752* Crown porcelain fused....$ 370.00

D6790* Crown full cast high noble metal.$ 370.00

D6791 Crown full cast predominantly base metal.$ 370.00

D6792* Crown full cast.......$ 370.00

D6930 Recement fixed partial denture (per unit)...........$ 25.00

C550 Extractions/oral and maxillofacial surgery member pays

D7111 Coronal remnants, deciduous tooth.$ 35.00

D7140 Extraction, erupted tooth or exposed tooth.$ 35.00

D7210 Surgical removal of erupted tooth.$ 55.00

D7220 Removal of impacted tooth soft tissue.$ 100.00

D7230 Removal of impacted tooth partially bony.$125.00

D7240 Removal of impacted tooth completely bony.$150.00

D7250 Surgical removal of residual tooth roots.$ 65.00

D7310 Alveoloplasty in conjunction withextractions per quadrant.$ 65.00

D7311 Alveoplasty in conjunction with extractions one to

three teeth or tooth spaces, per quadrant.$ 65.00

D7320 Alveoloplasty not in conjunction with

extractions per quadrant.$100.00

D7321 Alveoplasty not in conjunction with extractions one

to three teeth or tooth spaces, per quadrant.$100.00

D7510 Incision and drainage of abscess intraoral.$ 40.00

C550 Anesthesia member pays

D9215 Local anesthesia.no charge

D9230 Analgesia (nitrous oxide), per 15 minutes.$ 30.00

C550 Adjunctive general services member pays

D9450 Case presentation, detailed and extensive

treatment planning ..no charge

D9951 Occlusal adjustment limited.$ 40.00

D9952 Occlusal adjustment complete.$ 225.00

C550 Orthodontics member pays

NOTE: Members can receive a 25 percent savings by visiting an in-network orthodontist.

* The above copayments do not include the additional cost of precious (high noble) and semi-precious (noble) metal.The additional cost of precious materials shall not exceed $125 per unit and $75 per unit forsemi-precious matericals.

Before visiting your dentist be sure to have HumanaOne dental insurance.

Dental Insurance Quote   Dental Insurance Reviews   Humana Dental Insurance   Health Insurance Quotes

Dental Insurance Quotes : QuoteFinder.Org Copyright 2009 : Terms of Use : Health Insurance Quotes