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 Service | In-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 | |
|---|---|
| $10.00 |
| $37.80 |
| $40.90 |
| $89.30 |
Payment for orthodontia is not included in the $1,500 annual maximum. It is subject to a separate $1,500 lifetime orthodontia maximum.
DELTA DENTAL’S MAXROLLOVER
Delta Dental’s MAXRollover allows you to roll over a portion of your unused annual benefit maximum to the following year, allowing you to stretch your benefits further. Every participant – enrolled employees and dependents – individually qualifies for the program. Each participant has the potential to roll over and accumulate more funds as the years progress, up to the applicable rollover account limit.
Program Eligibility
To be eligible for the MAXRollover program, participants must meet all of the following requirements:
- The participant must be enrolled for at least the last three months of the benefit period without a break in coverage.
- At least one qualified claim1 must be submitted within the benefit period.
- Qualified claims paid within the benefit period must not exceed the payment threshold.
Contact Information
Dental
- Delta Dental
- 800-335-8266
- email us
- deltadentalmo.com
- Group # 22841000
Contact Information
- nbkc human resources
- Human. Resources@nbkc.com



