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NETWORKOUT OF NETWORK REIMBURSEMENTDIAGNOSTIC & PREVENTIVEExaminationsX-RaysProphylaxisFluoride TreatmentsSealantsPalliative TreatmentBASIC SERVICESBasic Restorative (Fillings - All Teeth)Endodontics (Root Canals)Non-Surgical PeriodonticsSurgical PeriodonticsRepairsSimple ExtractionsComplex Oral SurgeryMAJOR SERVICES Inlays, Onlays, CrownsImplantsProstheticsORTHODONTICS (applies to child only up to age 19) Diagnostic, Active, Retention TreamentOrhodontic Lifetime MaximumDEDUCTIBLES & MAXIMUMSDeductible`Calendar Year Maximum$2,000Juvenile Law Center - Dental Plan 12/1/202360% In Network / 50% (Of Allowance) Out of Network50%MetLife DentalMetLife PPO NetworkPPO dentist / Non-PPO (90th percentile)$1,500$50 Single / $150 Family100% In Network / 100% (Of Allowance) Out of Network100% In Network / 90% (Of Allowance) Out of Network