LEVEL 1
Preventive Plan
This affordable dental insurance plan is perfect for those who keep good oral care and want to maintain a healthy smile. Our PPO plan offers 100% coverage on most preventive routine procedures.
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Plan Highlights:
Affordable dental insurance with freedom to choose any dentist, however individual claims will be paid based on Renaissance Dental’s PPO Fee schedule. This means individuals seeking the lowest out-of-pocket costs should visit a PPO dentist.
- 100% coverage on checkups, cleanings and x-rays
- Choose any dentist and save more at participating providers
- No deductibles or waiting periods
- Only pay for the coverage you need
Affordable dental insurance with COVERAGE AS SHOWN
PPO DENTIST
NON PARTICIPATING DENTIST
Diagnostic & Preventive Services
Diagnostic & Preventive Services – exams, cleanings and fluoride (up to age 19)
Brush Biopsy – to detect oral cancer
Sealants – to prevent decay of permanent molars
Bitewing Radiographs – X-rays
100%
100%
Basic Services
Emergency Palliative Treatment – to temporarily relieve pain
80%
80%
Other Radiographs – other than bitewing X-rays
Minor Restorative Services – fillings
50%
50%
Major Services
Periodontic Services – to treat gum disease
Endodontic Services – root canals
Oral Surgery Services – complex extractions and dental surgery
Major Restorative Services – crowns
Prosthodontic Services – bridges, implants and dentures
Relines and Repairs – to bridges, implants and dentures
0%
0%
Orthodontics
Orthodontic Services – braces
0%
0%
Maximums & Deductibles
Benefit Year Maximum – per person/per benefit year applies to Diagnostic & Preventive and Basic
$750.00
$750.00
Benefit Year Deductible
$0
$0
Allowed Amounts
Allowed amount – in and out-of-network providers
PPO fee
PPO fee
An affordable dental plan that focuses on preventive dental care and affordability
Note: The information included in this summary is a sample of benefits. Policies have exclusions and limitations that may limit coverage. For complete coverage details, please refer to your policy. The information contained in this plan benefit highlights overview is not intended to be contractually binding without a written agreement executed by both parties memorializing the terms and conditions of dental benefit underwriting and/or administration anticipated to be provided by Renaissance. We reserve the right to withdraw this proposal at any time.
Provider search
Our Insurance Plans give you access to the Renaissance PPO network which combines leading national and regional PPO networks to offer maximum choice and value. You can find a dentist near you using the search tool below. If you decide to contact a dental office directly, please refer to the following network partners that a dental office will likely recognize for their participation:
- Maximum Care
- Connection Dental
- Maverest Dental Network
- Stratose/4Most (West Virginia only)
- Dentemax – Plus Network
- Careington
Reviewed by SHD’s licensed insurance and compliance team. Last reviewed: May 2026.
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