Allowed Amount

For an in-network dentist, this is the pre-negotiated fee the dentist has agreed to accept for services. For an out-of-network dentist this amount could be the pre-negotiated fee for PPO dentists in the area or the usual and customary fee for that service for dentists in the area. If the dentist's fee is less than the allowed amount, the dentist's fee will be used to calculate your coverage.