Deductible $50 per covered member, maximum of $150 per family Annual Plan Maximum $1,000 per family member Preventive Services Exams, Cleanings, Fluoride, X-Rays You pay 0% Basic Services Fillings, Extractions, Endodontics, Crown Repairs You pay 20% after deductible Major Services Crowns, Dentures, In/Outlays, Periodontics You pay 50% after deductible Orthodontia Services You pay 50% Orthodontia Lifetime Maximum $1,000 per child In-Network