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The table below is a small selection of sample savings on one of the dental plans available.
Please check out all other dental plans for your region,
ADA Code Procedure Usual Fee * Discounted Fee (for Plan Members) ** Member Savings
0120  Routine 6 Month Check-Up $35 $24 $11
0150  In Depth Check-Up $60 $36 $24
0210  Full Mouth X-Rays $100 $70 $30
0274  Bitewings - Four Films $45 $31 $14
0330  Panoramic Film $85 $55 $30
1110  Adult Cleaning $65 $54 $11
1120  Child Cleaning $50 $38 $12
1351  Sealant - Per Tooth $40 $30 $10
2110  Silver Filling $80 $49 $31
2330  White Filling $110 $71 $39
2750  Crown - Porcelain $800 $535 $265
2752  Crown - Porcelain Fused to Noble Metal $790 $491 $299
2950  Core Build-Up, Including Any Pins $200 $89 $111
3310  Root Canal - Anterior $539 $366 $173
3320  Root Canal - Bicuspid $645 $427 $218
3330  Root Canal - Molar $785 $576 $209
4341  Perio scaling and root planing (per quadrant) $188 $117 $71
5110  Upper Denture (Complete) $1250 $701 $549
6210  Tooth Replacement / Bridge Prosthetic $795 $504 $291
7110  Single Tooth Extraction $110 $65 $45
* Source: American Dental Association (ADA) 2001 Regional Survey of Dental Fees. Fees may vary slightly by region.
** Discounted fees are listed for visits to a participating general dentist - this fee is guaranteed according to your schedule of benefits. Any procedure not covered on the complete schedule of benefits (provided in your members area once you enroll) will be discounted 20% off the provider's usual and customary fee. Consult with your provider prior to beginning any treatment. Lab fees are additional.

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