nbkc bank offers dental benefits through Delta Dental. The chart below provides a high-level look at the amounts you pay when visiting in-network providers. Please refer to full plan descriptions for greater detail.

Type of ServiceIn-Network
Deductible
(Waived for Preventive)
$50 individual /
$150 family
Diagnostic & Preventive Services
* Oral Exams/Cleanings
* Sealants
* Fluoride Treatment
* X-Rays
100%
Basic Services
* Fillings, Including Composites
* Extractions
* Perio and Endodontics
80%
Major Services
* Bridges
* Crowns
* Dentures
50%
Orthodontia
* Adult & Children
50%
Maximum Benefits
* Annual Calendar Year
* Lifetime Orthodontia Maximum
$1,500
$1,500

Monthly Employee Cost
    Employee Only
$9.50
    Employee + Spouse
$36.00
    Employee + Child(ren)
$39.00
    Family
$85.00

Payment for orthodontia is not included in the $1,500 annual maximum. It is subject to a separate $1,500 lifetime orthodontia maximum.

Progressive Annual Maximum

The plan has an annual maximum of $1,500 in benefit payment for any one person in any calendar year. The Progress Annual Maximum Feature allows you to automatically increase your annual maximum every year! If you are seen for your preventive exams, the next year you will receive an additional $250 more in your annual max.

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Dental

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