Diagnostic & preventive (D&P) claims often include the most frequently utilized procedures, such as routine exams, cleanings, basic x-rays, and sometimes sealants and fluoride treatment for children.
Typically, D&P are covered at 0% coinsurance and often do not require the deductible to be met.
How it works
- Chris visits an in-network dentist for a routine, preventive cleaning, a service that costs $100.
- After the cleaning, the dentist files a claim to Chris' insurance company to request payment.
- Because cleanings are considered diagnostic & preventive, this visit is fully covered by Chris' plan.
- Chris pays nothing ($0) for the cleaning, and the plan pays $100.