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The following claim examples demonstrate how lower out-of-pocket patient costs can be achieved with Delta Dental PPO plan options. Compare the patient’s share of costs at each network level below:
| Dentist network status | Delta Dental PPO Network | Delta Dental Premier® Network | Non-Contracted |
|---|---|---|---|
| Patient's share2 | $0.00 | $10.00 | $30.00 |
| Dentists bills (submitted charge) | $75.00 | $75.00 | $75.00 |
| Fee agreement with Delta Dental | $45.00 | $55.00 | No fee agreement with Delta Dental |
| Plan payment is 100%1 | $45.00 | $45.00 | $45.00 |
| Dentist network status | Delta Dental PPO Network | Delta Dental Premier® Network | Non-Contracted |
|---|---|---|---|
| Patient's share2 | $275.00 | $375.00 | $600.00 |
| Dentists bills (submitted charge) | $875.00 | $875.00 | $875.00 |
| Fee agreement with Delta Dental | $555.00 | $650.00 | No fee agreement with Delta Dental |
| Plan payment is 50%1 | $275.00 | $275.00 | $275.00 |
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