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Notice: The information on this page is for sample ZIP code 92801. Please enter your ZIP code for accurate plan information in your area.
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Plan Features and Highlights

  • Periodic Oral Examination and One set of X-rays FREE per year at participating general dentist *
  • FREE Bitewing X-Rays (once per year) at participating general dentist *
  • Orthodontia (orthodontics) included up to age 16
  • No annual limits
  • Quick activation, start saving soon
  • No health restrictions
  • No referral required to see a Specialist
  • Group rates available

Individual

Plan Membership Fee

1

New Members
Get 3 Free Months
When You Join Today!

Family 2

Plan Membership Fee

1

New Members
Get 3 Free Months
When You Join Today!

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 Patriot Plan was created to make DENTAL care affordable to more Americans. Patriot Plan helps you receive the dental care you need while saving you money. Your complete dental fee schedule is on average of up to 50% off usual and customary fees as compared with ADA regional survey averages. The Patriot Plan reduced fee-for-service dental program provides quality dental care at more than 7,900 participating dentists nationwide.

Sample Plan Savings for ZIP code 92801

Procedure Description Usual Fee 1 Discounted Fee
(for Plan Members) 2
Member Savings Savings Percentage
Routine 6 Month Check-Up * $57 FREE* $57 100%
In Depth Check-Up * $99 FREE* $99 100%
Full Mouth X-Rays * $144 FREE* $144 100%
Four Bitewing X-Rays * $70 FREE* $70 100%
Panoramic Film * $122 FREE* $122 100%
Adult Teeth Cleaning * $102 $58 $44 43%
Adult Teeth Cleaning (additional in same membership year) $102 $39 $63 62%
Child Teeth Cleaning * $75 $40 $35 47%
Child Teeth Cleaning (additional in same membership year) $75 $28 $47 63%
Protective Sealant / Tooth $61 $18 $43 70%
1 Surface White Filling for U or L Front Tooth $175 $61 $114 65%
Single Crown - Porcelain on High Noble Metal $1,227 $534 $693 56%
Single Crown - Porcelain on Noble Metal $1,162 $501 $661 57%
Core Build-Up With Pins $296 $111 $185 62%
Root Canal Treatment - Front Tooth $826 $284 $542 66%
Root Canal Treatment - Bicuspid $967 $342 $625 65%
Root Canal Treatment - Molar $1,170 $428 $742 63%
Perio Scaling and Root Planing (Per Quadrant) $271 $101 $170 63%
Full Upper Denture $1,855 $623 $1,232 66%
Tooth Replacement Part of Permanent Bridge $1,197 $501 $696 58%
Single Tooth Removal - Simple Extraction $197 $75 $122 62%
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The sample table above is a small selection of common procedures covered by the Patriot Plan. Once you’re a member, you will be provided with a complete fee schedule with discounted fees for nearly every dental procedure. All procedures covered under the Patriot Plan 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.

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 provider. 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. Any services not listed at either the general dentist or specialist (including pedodontics, prosthodontics and implantology) are available at a 25% discount from usual and customary fees charged by participating providers. One should verify provider participation and fees prior to beginning any treatment.

* Annual Check-up: one per membership year: Any combination of exam procedures Routine 6 Month Check-Up, Limited Oral Evaluation - Problem Focused, In Depth Check-Up , and X-Ray procedures Full Mouth X-Rays, Individual X-Ray Showing Tooth Roots, Intraoral - Periapical each additional film, Bitewing - Single/Two/Four Films, Panoramic Film FREE WITH prophylaxis procedures Adult Teeth Cleaning or Child Teeth Cleaning : $58 Adult, $40 Child.

All Patriot Plan dental charges are set at the fees shown on DentalPlans.com website at the time of plan purchase. These fees are good for 12 months from the date of plan purchase. The remaining 3 months on the plan may be subject a higher fee schedule, and fees are subject to change without notice.

All participating providers may charge an OSHA sterilization fee per visit.

All participating providers may charge a lab fee for crown and bridge work.




Click on the links below for more details

Individual

Plan Membership Fee

1

New Members
Get 3 Free Months
When You Join Today!

Family 2

Plan Membership Fee

1

New Members
Get 3 Free Months
When You Join Today!

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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Savings plans are NOT insurance and the savings will vary by provider, plan and zip code. These plans are not considered to be qualified health plans under the Affordable Care Act. Please consult with the respective plan detail page for additional plan terms. The discounts are available through participating healthcare providers only. To check that your provider participates, visit our website or call us. Since there is no paperwork or reimbursement, you must pay for the service at the time it’s provided. You will receive the discount off the provider’s usual and customary fees when you pay. We encourage you to check with your participating provider prior to beginning treatment. Special promotions including, but not limited to, additional months free are not available to California residents. Note – not all plans and offers available in all markets.

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