|Procedure||ADA Code||Price WITHOUT Plan||Price WITH Plan|
|Two Routine 6 Month Check-Ups||D0120||$150.00||FREE|
|Full Mouth X-Rays||D0210||$150.00||FREE|
|Two Adult Teeth Cleanings||D1110||$212.00||FREE|
|Bitewing - Single Radiographic Image||D0270||$34.00||FREE|
|Single Tooth Removal - Simple Extraction||D7140||$235.00||$70.00|
|1 Surface White Filling For U Or L Front Tooth||D2330||$190.00||$45.00|
|Edit Procedures||You Pay||$971.00||$115.00|
If you join today, you can start using your plan on
Tuesday, December 19, 2017
Members under this plan include spouse, dependent children up to the age of 18 or full-time students up to the age of 23.
See how your savings compare to other plans. Click the logos to view other savings plans details.