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 | One FREE cleaning per member per year | | One FREE fluoride treatment per member per year | | 1,400 Dentists in the Virginia, Delaware, Maryland, Pennsylvania and Washington, D.C area |
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| Quality dental care at predetermined fees | | Your choice of convenient private offices | | Treatment that emphasizes prevention and early detection of dental problems | | No annual limits | | Orthodontia (orthodontics) included | | No paperwork hassles | | No health restrictions | | No background checks | | Group rates available |
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IndividualPlan Membership Fee
$134.95 per Year1
Join Now and get 3 additional months FREE!
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Family2 Plan Membership Fee
$179.95 per Year1
Join Now and get 3 additional months FREE!
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1Your plan will activate on Thursday, March 1, 2012 if you join today. A $15 processing fee will be added during checkout.
2You and your dependents are eligible. Dependents include your spouse, unmarried children under age 20, and unmarried children who are full-time students up to age 23.
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The Dominion 6000X Individual Program has over 1,400 participating dentists in Virginia, Delaware, Maryland, Pennsylvania and Washington, D.C. In addition to providing great savings on over 250 dental procedures, this program features FREE cleanings and FREE checkups throughout the year for individuals and families.
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| ADA Code | Procedure Description |
Usual Fee 1 |
Discounted Fee
(for Plan Members) 2 |
Member Savings |
Savings Percentage |
| D0120 | Routine 6 Month Check-Up | $57 | $0 | $57 | 100% |
| D0150 | In Depth Check-Up | $99 | $0 | $99 | 100% |
| D0210 | Full Mouth X-Rays | $144 | $66 | $78 | 54% |
| D0274 | Four Bitewing X-Rays | $70 | $31 | $39 | 56% |
| D0330 | Panoramic Film | $122 | $59 | $63 | 52% |
| D1110 | Adult Teeth Cleaning | $102 | $0 | $102 | 100% |
| D1120 | Child Teeth Cleaning | $75 | $0 | $75 | 100% |
| D1351 | Protective Sealant / Tooth | $61 | $28 | $33 | 54% |
| D2330 | 1 Surface White Filling for U or L Front Tooth | $175 | $76 | $99 | 57% |
| D2750 | Single Crown - Porcelain on High Noble Metal | $1,227 | $644 | $583 | 48% |
| D2752 | Single Crown - Porcelain on Noble Metal | $1,162 | $644 | $518 | 45% |
| D2950 | Core Build-Up With Pins | $296 | $158 | $138 | 47% |
| D3310 | Root Canal Treatment - Front Tooth | $826 | $358 | $468 | 57% |
| D3320 | Root Canal Treatment - Bicuspid | $967 | $429 | $538 | 56% |
| D3330 | Root Canal Treatment - Molar | $1,170 | $526 | $644 | 55% |
| D4341 | Perio Scaling and Root Planing (Per Quadrant) | $271 | $126 | $145 | 54% |
| D5110 | Full Upper Denture | $1,855 | $778 | $1,077 | 58% |
| D6210 | Tooth Replacement Part of Permanent Bridge | $1,197 | $644 | $553 | 46% |
| D7140 | Single Tooth Removal - Simple Extraction | $197 | $81 | $116 | 59% |
The sample table above is a small selection of common procedures discounted by the Dominion plan. Once you're a member, you will be provided with a complete schedule of benefits with discounted fees for nearly every dental procedure. All procedures discounted under the Dominion 6000X Individual Program offer similar savings to the sample above. If you are looking for a specific dental procedure that is not on this sample, please contact our Customer Care Center toll-free at (888) 632-5353 with the ADA Code of the procedure and we can provide the discounted fee. |
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1 Source: DentalPlans.com (DP.C) 2010 Survey of Sample Average National Dental Fees (updated March 2011). Fees may vary slightly by region. 2 Discounted fees are listed for visits to a participating general dentist - this fee is guaranteed according to your schedule of benefits. Any procedure not listed on the complete schedule of benefits (provided in your members area once you join) will be discounted 25% 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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 How this Plan Can Save You Money |
The Dominion 6000X Individual Program is a discount or "reduced-fee" dental plan. This plan is designed for health conscious consumers looking to maintain their oral health and minimize their dental care expenses.General dentists who participate in the Dominion 6000X Individual Program have agreed to accept a discounted fee as payment in full for each service performed *. These discounted fees are less than what a dentist would normally charge.. A sample table of Dominion 6000X Individual Program discounted fees can be found above. |
Specialist Savings and Discounts |
Dominion Plan members who visit a participating specialist receive a flat 25% discount off specialists' usual and customary fees. This includes a 25% discount at:- Orthodontists - braces
- Periodontists - gums
- Oral Surgeons - wisdom tooth or major extractions
- Prosthodontists - bridges and dentures
- Pediatric Dentists - child treatment
- Endodontist - extensive root canals
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What You Get When You Join |
When you join the Dominion 6000X Individual Program with DentalPlans.com, your membership package materials are provided instantly online in the DentalPlans.com Member's Area. This online membership package (OMP) includes:- Your welcome letter and instructions for receiving a membership card
- A complete schedule of benefits with discounted fees on nearly every dental procedure
- Instructions and tips for maximizing your savings
- Support and contact documentation
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Plan Notes and Disclosures |
You are entitled to choose any participating dentist on the Dominion plan. Dental offices are located throughout the Eastern United States. The dental provider listings on DentalPlans.com are provided directly from each dental network or dental plan, who are responsible for its accuracy and completeness. These listings are updated on a monthly basis, and every effort has been made to ensure that only participating active providers are listed. We strongly recommend that you confirm that a provider is currently participating before you receive any services from that provider. Please see Member's Agreement for more details. |
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