|Procedure||ADA Code||Price WITHOUT Plan||Price WITH Plan|
|Four Routine 6 Month Check-Ups||D0120||$300.00||FREE|
|Two Full Mouth X-Rays||D0210||$300.00||FREE|
|Two Adult Teeth Cleanings||D1110||$212.00||FREE|
|Two Bitewing - Single Radiographic Image||D0270||$68.00||FREE|
|Two Full Upper Dentures||D5110||$3,600.00||$1,250.00|
|Single Crown - Porcelain On High Noble Metal||D2750||$1,325.00||$499.00|
|Tooth Replacement Part Of Permanent Bridge||D6210||$1,200.00||$499.00|
|Edit Procedures||You Pay||$7,005.00||$2,248.00|
If you join today, you can start using your plan on
Tuesday, March 20, 2018
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.