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Plan Features and Highlights
- Orthodontia (orthodontics) included
- No annual limits
- Ancillary Benefits available
- Quick Activation
- No referral required to see a Specialist
- No health restrictions
- Group rates available
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 Patriot Plan Plus was created to make DENTAL care affordable to more Americans. Patriot Plan Plus 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 Plus reduced fee-for-service dental program provides quality dental care at more than 3,600 participating dentists nationwide.
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 | $21 | $36 | 63% |
| D0150 | In Depth Check-Up | $99 | $31 | $68 | 69% |
| D0210 | Full Mouth X-Rays | $144 | $67 | $77 | 53% |
| D0274 | Four Bitewing X-Rays | $70 | $28 | $42 | 60% |
| D0330 | Panoramic Film | $122 | $58 | $64 | 52% |
| D1110 | Adult Teeth Cleaning | $102 | $48 | $54 | 53% |
| D1120 | Child Teeth Cleaning | $75 | $33 | $42 | 56% |
| D1351 | Protective Sealant / Tooth | $61 | $27 | $34 | 56% |
| D2330 | 1 Surface White Filling for U or L Front Tooth | $175 | $71 | $104 | 59% |
| D2750 | Single Crown - Porcelain on High Noble Metal | $1,227 | $618 | $609 | 50% |
| D2950 | Core Build-Up With Pins | $296 | $127 | $169 | 57% |
| D3310 | Root Canal Treatment - Front Tooth | $826 | $355 | $471 | 57% |
| D3320 | Root Canal Treatment - Bicuspid | $967 | $423 | $544 | 56% |
| D3330 | Root Canal Treatment - Molar | $1,170 | $540 | $630 | 54% |
| D4341 | Perio Scaling and Root Planing (Per Quadrant) | $271 | $111 | $160 | 59% |
| D5110 | Full Upper Denture | $1,855 | $812 | $1,043 | 56% |
| D6210 | Tooth Replacement Part of Permanent Bridge | $1,197 | $569 | $628 | 52% |
| D7140 | Single Tooth Removal - Simple Extraction | $197 | $65 | $132 | 67% |
The sample table above is a small selection of common procedures discounted by the Patriot Plan Plus. 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 Patriot Plan Plus 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.
2 Discounted fees are listed for visits to a participating general dentist - this fee is guaranteed according to your fee schedule. Any procedure not listed on the complete fee schedule (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.
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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