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Union Dental Corp.
1700 University Drive
Suite 200
Coral Springs, FL 33071
(954)575-2252
1- 800-982-2605
info@uniondentalcorp.com
CWA Disctrict 3
ADT-Patient Benefit Page
Yearly Insurance Maximum For General Dental: $1500.00
Lifetime Deductible: $50.00 (provided you have your
teeth cleaned at least 1 time each year.)
Lifetime Orthodontic Maximum For Children Up To Age 19:
$1500.00
| Dental Services | Patient Pays |
| PREVENTATIVE PROCEDURES |
$0.00 -You Pay Nothing! |
| Periodontal Procedures |
$0.00 -You Pay Nothing! |
| Fillings: |
$0.00 -You Pay Nothing! Small Out Of Pocket Expense |
| Porcelain Fillings | $0.00 -You Pay Nothing! |
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$0.00 -You Pay Nothing! 25% Courtesy Discount |
| Root Canal Procedures | $150.00 Pre-set Co-Payment |
| Crowns (Caps) | $125.00 Pre-set Co-Payment |
| Bridges (Permanently placed to fill in for missing teeth) | $125.00 per number of teeth involved in bridge |
| Partial Dentures (Removable appliance to fill in for missing teeth) | $125.00 Pre-set Co-Payment |
| Full Dentures (Removable appliance to replace all missing teeth) | $125.00 Pre-set Co-Payment |
All Benefits Are Subject To Patient Eligibility And Plan Provisions. Always-Contact Insurance For Details
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