What is Delta Dentals coverage for resin fillings (also called composite, plastic or white fillings)?
A. Virtually all of Delta Dental’s plans cover resin fillings on the teeth where their cosmetic advantages are most important: the six front teeth (incisors and cuspids), and on the facial (cheek side) surfaces of bicuspids. DDSD will cover resin fillings up to the first molar and the buccal surface of the first molar. When an enrollee whose plan limits resin fillings to front teeth receives a resin filling on a back tooth, Delta Dental makes an allowance toward its cost. The allowance is based on Delta Dental’s Maximum Plan Allowance for the equivalent amalgam (“silver”) filling. There are other kinds of “white” fillings, such as resin inlays. These are specialized techniques and are excluded from most plans. When they are provided, Delta Dental makes an allowance toward their cost based on the fee for either an amalgam or resin filling, depending on the plan.
