What You’ll Pay For Your Child’s Dental Care

Select a type of plan to find out how much you’ll pay.

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No Deductible (for diagnostic and preventive services)
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No Annual Benefit Limit
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$350 Individual Out-of-Pocket Maximum (one child)
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$700 Family Out-of-Pocket Maximum (two or more children)
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$0 Office Copay
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No Waiting Period


Service Price
Diagnostic and Preventive (includes x-rays, exams, cleaning and sealants) Free
Amalgam Filling: One Surface $25
Root Canal: Molar $300
Gingivectomy, Per Tooth $50
Extraction: Single Tooth, Exposed Root or Erupted $65
Extraction: Complete Bony $160
Crown: Porcelain With Metal $300
Medically Necessary Orthodontia $350
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Children’s dental benefits are automatically included in the Covered California health plans we offer. Learn More arrow_forward

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