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Insurance
Plan

DentaTrust-PPO Family Low Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust/DentaSpan

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ValidityFrom Jan 01 2025 : To Dec 31 2025
Insurance
Plan

DentaTrust-PPO Family Low Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust/DentaSpan

Icon Dental Plan
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ValidityFrom Jan 01 2025 : To Dec 31 2025
Insurance
Plan

DentaTrust-PPO Pediatric High Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust

Icon Dental Plan
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ValidityFrom Jan 01 2025 : To Dec 31 2025
Insurance
Plan

DentaTrust-PPO Pediatric High Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust/DentaSpan

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To Dec 31 2025
Insurance
Plan

DentaTrust-PPO Pediatric High Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust/DentaSpan

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To Dec 31 2025
Insurance
Plan

DentaTrust-PPO Pediatric Low Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To Dec 31 2025
Insurance
Plan

DentaTrust-PPO Pediatric Low Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust/DentaSpan

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To Dec 31 2025
Insurance
Plan

DentaTrust-PPO Pediatric Low Option

Type

PPO

Coverage

Individual

Insurer

DentaTrust/DentaSpan

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To Dec 31 2025
Insurance
Plan

EssentialSmile Arizona - Total Care

Type

EPO

Coverage

Individual

Insurer

Solstice Healthplans of Arizona, Inc.

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ValidityFrom Jan 01 2025 : To Dec 31 2025
Insurance
Plan

EssentialSmile Florida - Total Care

Type

EPO

Coverage

Individual

Insurer

Solstice Benefits

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ValidityFrom Jan 01 2025 : To Dec 31 2025
Insurance
Plan

EssentialSmile Illinois - Total Care

Type

EPO

Coverage

Individual

Insurer

Solstice of Illinois, Inc.

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ValidityFrom Jan 01 2025 : To Dec 31 2025
Insurance
Plan

EssentialSmile Michigan - Total Care

Type

EPO

Coverage

Individual

Insurer

UnitedHealthcare

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Icon National Network
ValidityFrom Jan 01 2025 : To Dec 31 2025
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