Benefits & Coverage

Insurance Type
Dental Insurance
Insurance Provider
HumanaOne
Plan Type
PPO
Deductible
$50-single, up to $150-family
Coverage Maximum
$1000
Enrollment Fee
$35

Cost & Coverage

Diagnostic

Clinical Oral Evaluation
comprehensive oral evaluation
Maximum Covered Expense:100%
periodic oral evaluation - established patient
Maximum Covered Expense:100%
limited oral evaluation-problem focused
Maximum Covered Expense:100%
comprehensive oral evaluation - new or established patient
Maximum Covered Expense:100%
Radiographs/Diagnostic Imaging (Including Interpretation)
intraoral - periapical first film
Maximum Covered Expense:100%
intraoral - periapical each additional film
Maximum Covered Expense:100%
intraoral - occlusal film
Maximum Covered Expense:100%
extraoral - first film
Maximum Covered Expense:100%
extraoral - each additional film
Maximum Covered Expense:100%
bitewing - single film
Maximum Covered Expense:100%
bitewings - two films
Maximum Covered Expense:100%
bitewings - three films
Maximum Covered Expense:100%
bitewings - four films
Maximum Covered Expense:100%
vertical bitewings - 7 to 8 films
Maximum Covered Expense:100%

Preventive

Dental Prophylaxis
prophylaxis - adult
Maximum Covered Expense:100%
prophylaxis - child
Maximum Covered Expense:100%
Topical Fluoride Treatment (Office Procedure)
topical application of fluoride (including prophylaxis) - child
Maximum Covered Expense:100%
Other Preventive Services
sealant - per tooth
Maximum Covered Expense:100%
Space Maintenance (Passive Appliances)
space maintainer - fixed - unilateral
Maximum Covered Expense:50%
space maintainer - fixed - bilateral
Maximum Covered Expense:50%
space maintainer - removable - unilateral
Maximum Covered Expense:50%
space maintainer - removable - bilateral
Maximum Covered Expense:50%

Restorative

Amalgam Restorations (Including Polishing)
amalgam - one surface, primary or permanent
Maximum Covered Expense:50%
amalgam - two surfaces, primary or permanent
Maximum Covered Expense:50%
Resin - Based Composite Restorations - Direct
resin-based composite - one surface, anterior
Maximum Covered Expense:50%
resin-based composite - two surfaces, anterior
Maximum Covered Expense:50%
Crowns - Single Restorations Only
crown - porcelain fused to high noble metal
plan pays:discount
Other Restorative Services
prefabricated stainless steel crown - primary tooth
Maximum Covered Expense:50%
prefabricated stainless steel crown - permanent tooth
Maximum Covered Expense:50%

Endodontics

Endodontic Therapy (Including Treatment Plan, Clinical Procedures and Follow-Up Care)
endodontic therapy, molar (excluding final restoration)
plan pays:discount

Periodontics

Non-Surgical Periodontal Service
periodontal scaling and root planing - four or more teeth per quadrant
plan pays:discount
Other Periodontal Services
periodontal maintenance
plan pays:discount

Prosthodontics (removable)

Complete Dentures (Including Routine Post-Delivery Care)
complete denture - maxillary
plan pays:discount
complete denture - mandibular
plan pays:discount
Adjustments to Dentures
adjust complete dentures - maxillary
plan pays:discount
adjust complete dentures - mandibular
plan pays:discount

Implant Services

Implant Services
surgical placement of implant body: endosteal implant
plan pays:discount
surgical placement of interim implant body for transitional prosthesis: endosteal implant
plan pays:discount

Oral and Maxillofacial Surgery

Extractions (Includes Local Anesthesia, Suturing, if Needed, and Routine Postoperative Care)
extraction, erupted tooth or exposed root (elevation and/or forceps removal)
Maximum Covered Expense:50%

Orthodontics

Comprehensive Orthodontic Treatment
comprehensive orthodontic treatment of the adolescent dentition
plan pays:discount
comprehensive orthodontic treatment of the adult dentition
plan pays:discount

Dentist Directory

List of dentist that accepts Preventive Plus 3 Dental Plan in FL

/
CABRERA, MOISES
14609 SW 104TH ST
MIAMI, FL 33186
KENDALL DENTAL CARE
12350 SW 127 AVE
MIAMI, FL 33186
PENATE, ADA
14609 SW 104TH ST
MIAMI, FL 33186
MANIGLIA, MARIELBA
13632 SW 88TH ST
MIAMI, FL 33186
NELSON, JOHN
6670 SW 117TH AVE
MIAMI, FL 33183
EVANS, THEMBI-ANN
7158 SW 117TH AVE
MIAMI, FL 33183
PARNES, EDMUND
8700 N KENDALL DR
MIAMI, FL 33176
GORAL, ROBERT
9595 N KENDALL DR
MIAMI, FL 33176
FRIEDMAN, RENE
8940 N KENDALL DR
MIAMI, FL 33176
SILVESTRY, AILYN
11400 N KENDALL DR STE 207
MIAMI, FL 33176
GUTIERREZ, VICTOR
7311 SW 62ND AVENUE, SECOND FLOORR
MIAMI, FL 33143
ALVAREZ, PABLO
9055 SW 87TH AVE
MIAMI, FL 33176
TYDIR, MICHELLE
9000 SW 87TH CT
MIAMI, FL 33176
VERA, RAFAEL
11545 N KENDALL DR
MIAMI, FL 33176
SILVESTRY, ELVIN
11400 N KENDALL DRIVE # 207
MIAMI, FL 33176
VARON, DINA
8750 SW 144TH ST
VILLAGE OF PALMETTO BAY, FL 33176
BLAY, MARINA
8729 SW 136TH ST
MIAMI, FL 33176
PAREDES, BRETT
8700 N KENDALL DR
MIAMI, FL 33176
TANNENBAUM, PAUL
9777 SW 72 ST
MIAMI, FL 33173
BERMAN, CAROLINE
10728 S.W. 72 ST.
MIAMI, FL 33173
MARTINEZ, JESUS
4230 SW 152ND AVE
MIAMI, FL 33185
AGREDA, ANGEL
2611 SW 147TH AVE
MIAMI, FL 33185
VALIENTE, ALADINO
12781 SW 42 ST
MIAMI, FL 33175
SAENZ, MANUEL
11865 SW 26TH ST
MIAMI, FL 33175
SOTERAS, ANA
2701 SW 142ND AVE
MIAMI, FL 33175
Details
MOISES CABRERA, D.D.S.
Phone Number
(305) 388-3725
Office Locations
14609 SW 104TH ST
MIAMI, FL 33186
14609 SW 104TH ST MIAMI FL, 33186

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