|Procedure||ADA Code||Price WITHOUT Plan||Price WITH Plan|
|Twelve Routine 6 Month Check-Ups||D0120||$900.00||FREE|
|Eight Adult Teeth Cleanings||D1110||$848.00||FREE|
|Six Full Mouth X-Rays||D0210||$900.00||FREE|
|Six Bitewing - Single Radiographic Image||D0270||$204.00||FREE|
|Four Child Teeth Cleanings||D1120||$340.00||FREE|
|Three Single Tooth Removals - Simple Extraction||D7140||$705.00||$210.00|
|Root Canal Treatment - Molar||D3330||$1,325.00||$485.00|
|Tooth Replacement Part Of Permanent Bridge||D6210||$1,200.00||$499.00|
|Full Upper Denture||D5110||$1,800.00||$625.00|
|Single Crown - Porcelain On High Noble Metal||D2750||$1,325.00||$499.00|
|Edit Procedures||You Pay||$9,547.00||$2,318.00|
If you join today, you can start using your plan on
Monday, December 18, 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.