How Spanish Dental Insurance Actually Works
Before comparing brands, it helps to understand the model, because it's different from health insurance. A Spanish dental plan is a low monthly premium plus a fixed price list (the cuadro de servicios). The premium makes preventive care – check-ups, cleanings, X-rays – essentially free. Everything else still costs you something, but at the insurer's listed co-payment (the franquicia) rather than the open-market price.
That leads to the single most important trade-off: a lower premium generally means higher co-payments per treatment, and a higher premium means lower ones. There's no free lunch – you're choosing where to carry the cost. A plan like Sanitas Dental Premium "con copago" sits at the other end: a higher premium, most services included, but a small €3 co-payment per day of visit.
Premium vs co-pay
Cheap premium = higher per-treatment co-pay. Match it to how much work you expect.
Network first
A great price list is useless without good network dentists near you. Adeslas even prices by clinic tier.
No waiting periods
These entry plans don't impose waiting periods, so the price list applies from the start.
The Four Plans at a Glance
| Plan | From (monthly) | Structure |
|---|---|---|
| SegurCaixa Adeslas Dental Max | €5.00 | Three price tiers by clinic type (Adeslas own / Óptima preferred / other network). |
| DKV Dentisalud Classic | €7.90 | Single tariff list; many diagnostic/surgical acts included, restorative & prosthetic at fixed prices. |
| Caser Sonrisa Esencial | €7.95 | Single tariff shared with Sonrisa Perfecta; a separate, higher "Dental Supplement" tariff also exists. ~€4.90 if bundled with Caser health. |
| Sanitas Dental Premium (con copago) | €19.90 | Broad list of services at no cost, but a €3 co-payment per day of visit; some services capped. |
These are "from" entry prices. Your actual premium depends on age, region, number of people insured and the offer at the time – and insurers run periodic promotions (bundling dental with a health policy is a common one). Confirm the current premium when you quote.
What You Actually Pay per Treatment
This is the heart of the comparison: the co-payment you pay at the clinic for each treatment (over and above your premium), taken directly from each insurer's own price documents. "Incl." means no charge beyond the premium.
| Treatment (patient co-payment €) | Sanitas Premium | DKV Classic | Adeslas Max (own → other) | Caser Esencial |
|---|---|---|---|---|
| Check-up / consultation | Incl. (+€3/visit) | Incl. | Incl. | Incl. |
| Cleaning (tartrectomy) | Incl. | Incl. | Incl. | Incl. (max 2/yr) |
| Panoramic X-ray (OPG) | Incl. | Incl. | Incl. → 10 | Incl. |
| 3D / CBCT study | Incl. | 80–110 | Incl. → 165 | 58.50 |
| Filling | Incl. (max 2/yr) | 39 | 50 → 60 | 44 |
| Endodontics – 1 root | not priced | 80 | 125 → 140 | 135 |
| Endodontics – 2 roots | not priced | 94 | 150 → 190 | 167 |
| Simple extraction | Incl. | Incl. | Incl. → 15 | Incl. |
| Impacted wisdom tooth | Incl. | 25 | 80 → 145 | Incl. |
| Root planing (per quadrant) | not priced | 45 | 65 → 75 | 63.50 |
| Titanium implant | not priced | 625 | 625 → 760 | 592 |
| Metal-ceramic crown on implant | not priced | 303 | 340 → 435 | 287.50 |
| Zirconia crown/bridge (natural tooth) | not priced | 350 | 365 → 490 | 389.50 |
| Full removable denture (one arch) | not priced | 378 | 390 → 480 | 432 |
| Porcelain veneer (per tooth) | not priced | 195 | 275 → 295 | 243 |
| In-office whitening | not priced | 250 | 295 → 375 | 133 (per arch) |
How to read it: Sanitas "not priced" because the document supplied is an information sheet listing what's included (with a €3/visit co-pay and caps such as two fillings/year), not a full price list. Adeslas shows two figures – the lower at its own/Óptima clinics, the higher at other network clinics. Caser figures are for Sonrisa Esencial. The pattern is clear: the €5–€8 plans quote a real co-payment for major work, and those co-payments are broadly in the same ballpark across DKV, Adeslas and Caser.
Orthodontics (Braces & Aligners)
Orthodontics is priced very differently by each insurer – some charge a per-arch fitting fee plus periodic visit charges, others quote an all-inclusive treatment price – so these don't compare line by line. The Sanitas document supplied doesn't price orthodontics at all.
| Orthodontics (€) | DKV Classic | Adeslas Max (own → other) | Caser Esencial |
|---|---|---|---|
| Orthodontic study | 50 (+30 photo) | Free | Free |
| Metal braces | 340/arch + 30/visit | 1,470 → 1,540/arch, all-in | 370/arch + 36/check-up |
| Aesthetic / sapphire braces | +180/arch supplement | 2,105 → 2,480/arch | 840/arch + check-ups |
| Invisible aligners (full, both arches) | 4,200 (up to 24 mo) | 4,275 → 4,725 | 4,200 (+300 planning) |
For a full course of invisible/aligner treatment the three priced plans land close together (roughly €4,200–€4,725). The bigger differences are in conventional braces, where the fee structure – per-arch fitting plus visits vs one all-in price – changes the total more than the headline number suggests.
How to Choose the Right One for You
Start from the treatment you expect
Only want check-ups and the odd filling? The cheapest premium wins – preventive care is included everywhere. Facing an implant, crown or braces? Compare the specific co-payment above; the premium difference is trivial next to a €600 implant.
Check the network before anything else
Look up the network dentists near your home or work. With Adeslas it matters twice, because you pay the lower price only at its own and Óptima preferred clinics.
Read the limits, not just the premium
Sanitas caps some "free" treatments (e.g. two fillings a year) and adds €3 per visit; cleanings are commonly limited to two a year. A low premium with tight caps can cost more than a slightly higher one.
Ask about bundling & current offers
Dental is often cheaper alongside a health policy, and insurers run periodic promotions – Caser's Sonrisa Esencial, for instance, is about €4.90/month with a Caser health plan versus €7.95 on its own.
Honest Limitations of This Comparison
- Prices shown are as of 31 July 2026. Premiums and co-payments can change and vary by commercial conditions, so confirm the current tariff when you quote.
- Everything here is subject to the General, Particular and Special Conditions of the policy you actually contract. This is a summary for orientation, not a contract.


