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Plan Features and Highlights
- Orthodontia (orthodontics) included
- Includes cosmetic dentistry
- No paperwork hassles
- No annual limits
- No health restrictions
- Enjoy quick plan activation
- No referral required to see a Specialist
Individual
Plan Membership Fee
1
Join now & get
3 extra months FREE!
Family 2
Plan Membership Fee
1
Join now & get
3 extra months FREE!
1Your plan will activate on Tuesday, November 22, 2011 if you join today.
2Those eligible for discounts under this plan include spouse and any other financially dependent family member living in the member's household.
Plan Summary
The Liberty Dental Program of America was created by dental health care professionals. It was created to fill a need for affordable dental health care. The Liberty Dental Program of America is liberating you from the high cost of dental care. With providers throughout New Jersey, the five boroughs of New York City, and Long Island, New York.
Sample Plan Savings for ZIP code 92801
| ADA Code | Procedure Description | Usual Fee 1 |
Discounted Fee
(for Plan Members) 2 |
Member Savings | Savings Percentage |
| D0120 | Routine 6 Month Check-Up | $57 | $25 | $32 | 56% |
| D0150 | In Depth Check-Up | $99 | $25 | $74 | 75% |
| D0210 | Full Mouth X-Rays | $144 | $50 | $94 | 65% |
| D0274 | Four Bitewing X-Rays | $70 | $0 | $70 | 100% |
| D0330 | Panoramic Film | $122 | $50 | $72 | 59% |
| D1110 | Adult Teeth Cleaning | $102 | $50 | $52 | 51% |
| D1120 | Child Teeth Cleaning | $75 | $30 | $45 | 60% |
| D1351 | Protective Sealant / Tooth | $61 | $20 | $41 | 67% |
| D2330 | 1 Surface White Filling for U or L Front Tooth | $175 | $85 | $90 | 51% |
| D2750 | Single Crown - Porcelain on High Noble Metal | $1,227 | $775 | $452 | 37% |
| D2752 | Single Crown - Porcelain on Noble Metal | $1,162 | $650 | $512 | 44% |
| D2950 | Core Build-Up With Pins | $296 | $100 | $196 | 66% |
| D3310 | Root Canal Treatment - Front Tooth | $826 | $400 | $426 | 52% |
| D3320 | Root Canal Treatment - Bicuspid | $967 | $500 | $467 | 48% |
| D3330 | Root Canal Treatment - Molar | $1,170 | $675 | $495 | 42% |
| D4341 | Perio Scaling and Root Planing (Per Quadrant) | $271 | $105 | $166 | 61% |
| D5110 | Full Upper Denture | $1,855 | $750 | $1,105 | 60% |
| D7140 | Single Tooth Removal - Simple Extraction | $197 | $90 | $107 | 54% |
The sample table above is a small selection of common procedures discounted by the Liberty Dental Program of America. Once you’re a member, you will be provided with a complete fee schedule with discounted fees for nearly every dental procedure. All procedures discounted under the Liberty Dental Program of America 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.
1Source: DentalPlans.com (DP.C) 2010 Survey of Sample Average National Dental Fees (updated March 2011). Fees may vary slightly by region.
2Discounted fees are listed for visits to a participating general dentist - this fee is guaranteed according to the fee schedule. Any procedure not listed on the complete fee schedule (provided in your member's 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. All no charge diagnostic services are applicable one time per year. Panoramic film and full mouth series of x-rays apply one time every three years.
Click on the links below for more details
Individual
Plan Membership Fee
1
Join now & get
3 extra months FREE!
Family 2
Plan Membership Fee
1
Join now & get
3 extra months FREE!
1Your plan will activate on Tuesday, November 22, 2011 if you join today.
2Those eligible for discounts under this plan include spouse and any other financially dependent family member living in the member's household.
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