Dental Insurance

The County Dental Insurance is provided through Superior DentalCare

Send claims to:

Superior Dental Care
6683 Centerville Business Parkway
Centerville OH 45459

Account Number: 1001742
Payor Number: 31117

For customer service call: 1-800-762-3159

The below chart indicates the levels of coverage provided:

Diagnostic & Preventive Basic Services Major Services Orthodontics Annual Maximum Per Person
100% 80% 50% $1,000 per child
per lifetime
$1,500 (Year 2012)

Basic and major services have a $50 annual deductible per person; $150 family maximum per calendar year.

  • The annual maximum per person applies to all expenses except orthodontia.  Orthodontia expenses have a separate lifetime limit.
  • Only dependent children under the age of 19 are eligible for orthodontia

Diagnostic & Preventive:

  • Examinations (Oral, Periodic or Office Visit) covered once in any 12 consecutive month period.
  • Radiographs
  • Routine Cleaning – Limited to two in any 12 consecutive month period.
  • Flouride Treatments – Applicable only to dependent children under the age of 16.  Only two applications will be covered in any 12 consecutive month period.
  • Sealants Applicable only to first and second permanent molars for dependent children under age 16.  Covered once each tooth in any 36 consecutive month period.
  • Other Services – Harmful Habit Appliance, limited to one time per person under age 16.
    Space Maintainers, applicable to dependent children under age 16.

Basic Services:

  • Restorations Fillings, Anterior and Posterior restorations, Replacement of existing fillings if at least 24 consecutive months have passed since replacement of prior fillings, composite restorations of molar teeth, Crowns.
  • Endodontic Services – Vital pupotomy, Root canal therapy.
  • Periodontic Services – Scaling, root planing (covered once each quadrante in any 24 consecutive month period), full mouth debridement (covered once per lifetime), periodontal prophylaxis.
  • Periodontal Surgical Procedures – Gingival flap procedure, gingivectomy, osseus surgery.
  • Oral Surgery – Simple extraction, surgical removal of erupted tooth, root removal, incision and drainage of dental abscess, soft tissue biopsy.
  • Other Oral Surgical Procedures – Extraction of impacted teeth, surgical root removal,  removal of dental cysts and tumors.
  • Anesthesia – General anesthesia, IV sedation.
  • Other Services – Emergency examination, consultation with specialist, antibiotic drug injection, palliative treatment.

Major procedures:

  • Restorations – Inlays, onlays, crowns.
  • Prosthodontics – Fixed bridges,  initial placement or replacement, complete or partial dentures.

Orthodontia:

  • For children under the age of 19 when appliance or bands are initially placed.
  • Formal, full-banded retention and treatment, including x-rays and other diagnostic procedures.
  • Removable or fixed appliances for tooth or bony structure guidance or retention.

 

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