| Zip Code | 90277 |
| Age | 56 |
| # Children | 1 |
| Gold Dental PPO | 101.50 | Brochure | |
| Platinum Dental PPO | 121.00 | Brochure | |
| Incentive Dental PPO | 115.50 | Brochure | |
| Dental Net 3000D DHMO | 32.12 | Brochure | |
| Dental PPO | 85.30 | Brochure | |
| Enhanced Dental PPO 50/2000 | 121.60 | Brochure | |
| Enhanced Dental PPO 50/2000 | 132.00 | Brochure | |