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Insurance
Plan

DentaTrust-PPO Family High Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

DentaTrust-PPO Family High Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust/DentaSpan

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

DentaTrust-PPO Family High Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

DentaTrust-PPO Family High Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust/DentaSpan

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

DentaTrust-PPO Family Low Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

DentaTrust-PPO Family Low Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust/DentaSpan

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

DentaTrust-PPO Family Low Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

DentaTrust-PPO Family Low Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust/DentaSpan

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

DentaTrust-PPO Pediatric High Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

DentaTrust - PPO Pediatric High Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust/DentaSpan

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

DentaTrust-PPO Pediatric High Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

DentaTrust-PPO Pediatric High Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust/DentaSpan

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
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