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Reasons to join...
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Access to the National Dental Provider Network |
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Prescription drug ,vision savings plan and chiropractic savings |
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The best prices for routine dental procedures |
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Great savings on services provided by our dental specialists |
| Service | Typical Price | Our Price | Savings |
| Periodic Oral Examination | $30 | $10 | $20 |
| Prophylaxis | $69 | $38 | $31 |
| Crowns | $880 | $550 | $330 |
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| D0120 | Periodic Oral Examination | $30.00 | $10.00 |
| D0140 | Limited Oral examination, problem focused | $49.00 | $15.00 |
| D0150 | Comprehensive Exam | $45.00 | $15.00 |
| D0180 | Perio Exam | $40.00 | $15.00 |
| D0210 | Intraoral- complete series( including bitewing) | $97.00 | $45.00 |
| D0220 | Interoral _ periapical first film | $18.00 | $10.00 |
| D0230 | Interoral - periapical each additional film | $12.00 | $8.00 |
| D0240 | Intraoral - occlusal film | $20.00 | $12.00 |
| D0270 | Bitewing Single Film | $15.00 | $8.00 |
| D0272 | Bitewing Two Film | $28.00 | $12.00 |
| D0273 | Bitewing- three films | $38.00 | $18.00 |
| D0274 | Bitewing Four Films | $44.00 | $24.00 |
| D0330 | Panoramic X-ray | $82.00 | $45.00 |
| D0460 | Pulp Vitality test | $54.00 | $38.00 |
| D0470 | Diagnostic casts | $72.00 | $30.00 |
| D1110 | PROPHYLAXIS-ADULT | $69.00 | $38.00 |
| D1120 | PROPHYLAXIS-CHILD | $60.00 | $28.00 |
| D1203 | Fluoride Child | $28.00 | $10.00 |
| D1204 | Fluoride Adult | $32.00 | $15.00 |
| D1330 | Oral hygiene instruction | $25.00 | $10.00 |
| D1351 | Sealant -per tooth | $34.00 | $22.00 |
| D1510 | Space Maintainer - fixed unilateral type | $231 | $145.00 |
| D1515 | Space Maintainer - fixed bilateral type | $305 | $175.00 |
| D2140 | Amalgam Primary or Permanent 1 Surface | $97.00 | $60.00 |
| D2150 | Amalgam Primary or Permanent 2 Surface | $113.00 | $70.00 |
| D2160 | Amalgam Primary or Permanent 3 Surface | $136.00 | $80.00 |
| D2161 | Amalgam Primary or Permanent 4 Surface per tooth | $170.00 | 25% Discount |
| D2330 | Resin 1 Surface (anterior) | $136.00 | $65.00 |
| D2331 | Resin 2 Surface (anterior) | $155.00 | $85.00 |
| D2332 | Resin 3 Surface (anterior) | $173.00 | $110.00 |
| D2335 | Resin 4 Surfaces or involving incisal angle (anterior) | $268.00 | 25% Discount |
| D2391 | Resin-Based composite 1 surface (posterior) | $147.00 | $75.00 |
| D2392 | Resin-Based composite 2 Surface (posterior) | $173.00 | $95.00 |
| D2393 | Resin- Based composite 3 Surface (posterior) | $201.00 | $120.00 |
| D2394 | Resin -Based composite - Four or moresurfaces - posterior | $210.00 | 25% Discount |
| D2750 | Porcelain Crown Fused To High Noble Metal | $993.00 | $600.00 |
| D2751 | Crown - porcelain fused to predominately base metal | $880.00 | $550.00 |
| D2752 | Porcelain Crown Fused To Noble Metal | $855.00 | $575.00 |
| D2790 | Crown - full cast high noble metal | $800.00 | 25% Discount |
| D2791 | Crown - full cast predominantly base metal 3/4 cast metallic | $950.00 | 25% Discount |
| D2792 | Crown - full cast noble metal | $950 | 25% Discount |
| D2910 | Recement inlay | $65.00 | $40.00 |
| D2920 | Recement Crown | $97.00 | $40.00 |
| D2930 | Prefab. stainless steel crown, primary tooth | $200.00 | 25% Discount |
| D2940 | Sedative filling | $80.00 | $40.00 |
| D2950 | Crown buld up, including any pins | $228.00 | $140.00 |
| D2951 | Pin Retention per tooth in addition to restoration | $70.00 | 25% Discount |
| D2952 | Cast Post &Core in addition to crown | $243.00 | 25% Discount |
| D2953 | Cast post as part of crown | $115.00 | 25% Discount |
| D2954 | Prefabricated post & core in addition to crown | $205.00 | $160.00 |
| D3110 | Pulp Cap- direct (excluding final restoration) | $50.00 | $35.00 |
| D3120 | Pulp cap - indirect (excluding final restoration) | $50.00 | $35.00 |
| D3220 | Therapeutic pulpotomy (excluding final restoration) | $118.00 | $65.00 |
| D3310 | Root Canal anterior (excluding final restoration) | $496.00 | $350.00 |
| D3320 | Root Canal bicuspid (excluding final restoration) | $614.00 | $400.00 |
| D3330 | Root Canal molar (excluding final restoration | $850.00 | 25% Discount |
| D4240 | Gingival flap procedure, including root planning per quadrant | $476.00 | 25% Discount |
| D4260 | Osseous surgery (including flap entry & closure - per quadrant | $768.00 | 25% Discount |
| D4270 | Pedicle soft tissue graft procedure | $532.00 | 25% Discount |
| D4271 | Free soft tissue graft procedure | $547.00 | 25% Discount |
| D4341 | Periodontal scaling & root planning (per quad) | $185.00 | $100.00 |
| D4355 | Full Mouth Debridement | $135.00 | $60.00 |
| D4381 | Arestin Per Tooth | $95.00 | $50.00 |
| D4910 | Periodontal Maintenance procedures following active therapy | $110.00 | $60.00 |
| D5110 | Complete Denture, Upper | $1000.00 | $750.00 |
| D5120 | Complete Denture, Lower | $1000.00 | $750.00 |
| D5130 | Immediate Denture, Upper | $1050.00 | 25% Discount |
| D5140 | Immediate Denture, Lower | $1050.00 | 25% Discount |
| D5140 | Immediate Lower Denture | $1050.00 | 25% Discount |
| D5211 | Upper partial - acrylic base (including any conventional clasps & rests) | $850.00 | $650.00 |
| D5212 | Lower Partial- acrylic base (including any convential clasps & rests) | $950.00 | $650.00 |
| D5213 | Upper Partial-predominately base cast base with acrylic saddles (influding any conventional clasps & rests) | $1200.00 | $800.00 |
| D5214 | Lower partial - predominantly base cast base with acrylic saddles ( including any conventional clasps & rests) | $1200.00 | $800.00 |
| D5410 | Adjust complete denture -upper | $35.00 | $40.00 |
| D5411 | Adjust complete denture- lower | $55.00 | $40.00 |
| D5421 | Adjust partial denture -upper | $55.00 | $40.00 |
| D5422 | Adjust partial denture - lower | $55.00 | $40.00 |
| D5520 | Replace missing or broken teeth complete denture (each tooth) | $80.00 | 25% Discount |
| D5650 | Add tooth to existing partial denture | $98.00 | 25% Discount |
| D5660 | Add clasp to existing partial denture | $98.00 | 25% Discount |
| D5710 | Rebase complete upper denture | $350.00 | $250.00 |
| D5711 | Rebase complete lower denture | $350.00 | $250.00 |
| D5720 | Rebase upper partial denture | $200.00 | $250.00 |
| D5721 | Rebase lower partial denture | $200.00 | $250.00 |
| D5730 | Reline complete upper dentures (chairside) | $200.00 | 25% Discount |
| D5731 | Reline complete lower dentures (chairside) | $200.00 | 25% Discount |
| D5740 | Reline upper partial dentures (chairside) | $183.00 | 25% Discount |
| D5741 | Reline lower partial dentures (chairside) | $183.00 | 25% Discount |
| D5750 | (Laboratory) Reline complete upper dentures | $215.00 | 25% Discount |
| D5751 | Reline complete lower dentures (laboratory) | $267.00 | 25% Discount |
| D5760 | Reline upper partial dentures (laboratory) | $263.00 | $25% Discoount |
| D5761 | Reline lower partial dentures (laboratory) | $263.00 | 25% Discount |
| D6210 | Pontic - cast high noble metal | $650.00 | $600.00 |
| D6211 | Pontic - cast predominantly base metal | $700.00 | $550.00 |
| D6212 | Pontic - cast noble metal | $700.00 | $550.00 |
| D6240 | Pontic - porcelain fused to high noble metal | $780.00 | $600.00 |
| D6241 | Pontic - porcelain fused to predominately base metal | $550.00 | |
| D6242 | Pontic - porcelain fused to noble metal | $550.00 | |
| D6520 | Inlay - metallic - 2 surfaces | 25% Discount | |
| D6545 | Cast metal retainer for resin bonded fixed prosthesis | $520.00 | 25% Discount |
| D6750 | Crown - porcelain fused to high noble metal | $780.00 | $600.00 |
| D6751 | Crown - porcelain fused to predominantly base metal | $725.00 | $550.00 |
| D6752 | Crown - porcelain fused to noble metal | $725.00 | $550.00 |
| D6780 | Crown - 3/4 cast high noble metal | $681.00 | 25% Discount |
| D6790 | Crown - full cast high noble metal | $711.00 | 25% Discount |
| D6791 | Crown - full cast predominantly base metal | $711.00 | 25% Discount |
| D6792 | Crown - full cast noble metal | $711.00 | 25% Discount |
| D6930 | Recement bridge | $95.00 | $60.00 |
| D6940 | Stress breaker | 25% Discount | |
| D6950 | Precision attachment | 25% Discount | |
| D6970 | Cast post & core in addition to bridge retainer | 25% Discount | |
| D6972 | Prefabricated post & core in addition to bridge retainer | $175.00 | 25% Discount |
| D7140 | Single tooth | $95.00 | $60.00 |
| D7210 | Surgical removal of erupted toooth requiring elevation of mucopriosteal flap & removal of bone & or section of tooth | $190.00 | $130.00 |
| D7220 | Removal of Impacted Tooth (soft tissue) | $260.00 | $150.00 |
| D7230 | Removal of Impacted Tooth (partially bony) | $250.00 | $180.00 |
| D7240 | Removal of Impacted Tooth (completely bony) | $300.00 | 25% Discount |
| D9630 | Medicinal Irrigation (per quad) | $20.00 | $10.00 |
Orthodontics (Braces) : Savings of 25% below the usual and customary fees, including removable and fixed appliances.
Specialists :
Fees are reduced 25% below their usual fees.
Cosmetic Dentistry : Members are charged 25% below U.C.R for cosmetic procedures.
Please Note
For Specialists, Cosmetic Dentistry and Orthodontics (Braces), Members are charged 25% below usual fees.
Fee schedules below are for General Dentists only.
All services are performed by a General Dentist.
Any service not listed is available at a reasonable and customary fee less 25%.
Prices may vary from practitioner to practitioner. Published pricing below is best effort. Always check with practitioner's office
