Pediatric dentist that accepts anthem blue cross

Protect your smile with one of our PPO or HMO dental plans available directly through Blue Shield or through Covered California. No matter where you purchase your Blue Shield dental plan, you’ll enjoy a range of dental benefits including exams, cleanings, and x-rays for $0. And with some of the largest dental networks in California, you can count on the choice you expect. 

Call 888-273-4546 to talk to a licensed dental expert or to enroll.

Apply online

Not sure which plan to choose? 

  • HMO plans generally have lower monthly premiums and lower out-of-pocket costs for services compared with PPO plans. However, your choice in dentists is more limited.
  • PPO plans generally have higher monthly premiums and higher out-of-pocket costs for services compared with HMO plans. However, PPO plans offer a larger selection of dentists to choose from. 
  • The Family Dental PPO plan and Family Dental HMO plan are only available through Covered California. You must be enrolled in a medical plan through Covered California to qualify. 

You can even add a vision plan for as little as $6.90 per month to round out your coverage.

Find an HMO dentist  Find a PPO dentist
 

Compare 2023 plan benefits

Bolded values = Benefit is subject to a deductible​

 Dental Standard HMODental HMOEnhanced Dental PPO 50/1250Dental PPOSpecialty DuoSM dental + vision package*Enhanced Dental PPO 50/2000Enhanced Dental PPO 50/2000 Lifetime Ortho 1500Family Dental HMOFamily Dental PPO
Age:0-25** 26+ 0-25** 26+ 0-25** 26+ 0-25** 26+ 0-25** 26+ 0-25** 26+ 0-25** 26+ 0-18** 19+ 0-18** 19+
Monthly rates starting at:$12.50 $15.50 $23.70 $25.90 $33.90 $43.50 $39.10 $46.20 $43.50 $51.20 $53.10 $68.50 $57.70 $74.30 $14.00 $13.40 $28.80 $43.70
Benefit
With participating providers, members pay:1
Diagnostic and preventive services$0 $0 0% $02 $02 0% 0% 0% 0%
Restorative services – fillings$20 $18 20%3 $374 $374 20%3 20%3 $25 20%
Oral surgery$40 $34 20%3 $404 $404 20%3 20%3 $65 50%3
Removal of impacted tooth$225 $125 50%5 $1134 $1134 50%5 50%5 $160 50%3
Root canal (anterior root canal)$175 $155 50%5 $1564 $1564 50%5 50%5 $200 50%3
Root canal (molar)$355 $290 50%5 $2344 $2344 50%5 50%5 $300 50%3,6
Crowns$3506 $3006 50%5 $3205 $3205 50%5 50%5 $300 50%3,6
Orthodontics$2,350 for under age 26, fully banded, two years

$2,650 for age 26+, fully banded, two years

$2,350 for under age 26, fully banded, two years

$2,650 for age 26+, fully banded, two years

Not covered $2,350 for under age 26, fully banded, two years5,7

$2,650 for age 26+, fully banded, two years5,7

$2,350 for under age 26, fully banded, two years5,7

$2,650 for age 26+, fully banded, two years5,7

Not covered 50% ($1,500 lifetime maximum and subject to separate deductible)5,7,8 $350 for under age 19 when medically necessary, not covered for age 19+ 50% for underage 19 when medically necessary, not covered for age 19+
Denture$400 $400 50%5 $3885 $3885 50%5 50%5 $300 for under age 19, $400 age 19+ 50%3,6
Calendar-year deductible$0 $0 $50 per individual/$150 per family $50 per individual $50 per individual $50 per individual/$150 per family $50 per individual/$150 per family $0 $75 per individual/$150 per family for up to age 19, $50 per individual for age 19+
Calendar-year benefit maximumNone None $1,250 per individual $1,000 per individual $1,000 per individual $2,000 per individual $2,000 per individual None None for under age 19, $1500 per individual age 19+

* Underwritten by Blue Shield of California Life & Health Insurance Company. This plan also includes vision coverage.

† Monthly rates vary by age, plan and region

** Rate per child for first 3 children – no cost for 4th child and beyond

1. The amounts indicated are a percentage of the allowed charges. Network providers accept Blue Shield’s allowed charges as payment in full for covered services.

2. Diagnostic and preventive services do not apply to the calendar-year benefit maximum for this plan.

3. There is a six-month waiting period for these services unless you had prior coverage. 

4. There is a three-month waiting period for these services unless you had prior coverage. Contact Member Services at (888) 271-4880 for more information about obtaining a waiver.

5. There is a 12-month waiting period for these services unless you had prior coverage. Contact Member Services at (888) 271-4880 for more information about obtaining a waiver.

6. If precious metals are used, the member will be charged at the dentist’s cost. For Dental HMO, porcelain on molar teeth is subject to an additional charge of $75.

7. Amounts do not accrue toward the calendar-year benefit maximum.

8. Lifetime maximum is per person. Deductible is $50 per person or $150 per family.

Page last updated: 11/1/2022

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