Deductible (Single / Family) $50 / $150 Annual Plan Maximum $1,500 Preventive Services 100% Covered Exams, Cleanings, Fluoride, X-Rays Basic Services 80% Covered Fillings, Extractions, Endodontics, Crown Repairs Major Services 80% Covered Crowns, Dentures, In/Outlays, Periodontics Delta Dental offers three levels of benefit coverage: PPO Dentist, Premier Dentist, and Non-Participating Dentist. Review summary of benefits for more details.