Plan Highlights and Carrier Information

Select Plan 703X

Dominion Dental Services USA (Dominion) is a leading administrator of dental benefits in the Mid-Atlantic that has contracted with carefully selected, established members of the dental profession to deliver QUALITY dental services to our subscribers.

Dental disease is preventable. Dominion programs encourage the early detection of dental problems and routine maintenance.  We help you take better care of your teeth and now it can cost you less to do it!

Select Program 703x Highlights

The Select Plan is the same as a Dental HMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork (except for pediatric medically necessary orthodontics) or pre-treatment estimates.

Our network of participating dentists provides:

  • Extensive services (over 250 procedures)
  • Quality dental care of predetermined fees
  • Your choice of convenient private offices
  • Treatment that emphasizes prevention and early detection of dental problems

Select Plan 703x benefits include:

  • No charge for oral exams
  • $13 charge for routine semiannual cleanings (additional cleaning is covered for expecting mothers and diabetics)
  • No charge for bitewing X-rays
  • Discount on all implant services

These procedures account for over 65% of dental services for most frequently performed for adults, and over 90% of the most frequently performed services for children (Based on Dominion’s annual review of utilization data).

You will receive more extensive care (fillings, crowns, dentures, root canals, periodontal care, oral surgery, etc.) at fees up to 70% lower than usual and customary charges. Orthodontic services for adults and children are also covered. You only pay the amount listed in the Description of Services & Member Fees. Specialty care is also provided by Program Specialists at rates 25% less than usual and customary charge (Specialty care in Delaware may differ).

 

Select Plan Kids Highlights

Dominion's pediatric dental plan, Select Plan Kids, is the same as a Dental HMO with fixed member copayments, no waiting periods1, no deductibles and no pre-authorization paperwork (except for pediatric medically necessary orthodontics).

Our network of participating dentists provides:

  • Extensive services (over 300 procedures)
  • Quality dental care of predetermined fees
  • Your choice of convenient private offices
  • Treatment that emphasizes prevention and early detection of dental problemss

Select Plan Kids benefits include:

  • No charge for exams, cleanings, bitewing X-rays and other preventive services
  • Discount on non-medically necessary orthodontia.

1There is a 24-month waiting period for medically necessary orthodontic benefits.

About Dominion Dental Services

Dominion Dental Services (Dominion) is a leading provider of dental benefits in the Mid-Atlantic, offering managed care and indemnity programs, claims adjudication and comprehensive plan administration.

Among our 500,000 customers are leading health plans, employer groups, municipalities, associations and individuals. Dominion is headquartered in Alexandria, Va.

The Dominion Group of companies includes Dominion Dental Services, Inc., the licensed underwriter of the dental plans, and Dominion Dental Services USA, Inc., a licensed administrator of dental benefits.

Dominion Dental Services, Inc. is licensed as a Dental Plan Organization in Virginia, Maryland and Delaware, a Risk Assuming PPO in Pennsylvania and an Accident and Health Insurer in D.C.

Carrier Privacy Policy

Dominion values you as a customer and respects your right to privacy. Our privacy notices contain our commitment to you that the privacy of your health and financial information is protected. These notices describe how Dominion protects, uses and discloses member health and financial information, as well as your rights concerning your health information. To access these notices, please click here.

Carrier Address

Dominion Dental Services USA
115 South Union Street
Suite 300
Alexandria, VA 22314