|Procedure||ADA Code||Price WITHOUT Plan||Price WITH Plan|
|Eight Routine 6 Month Check-Ups||D0120||$600.00||FREE|
|Four Adult Teeth Cleanings||D1110||$424.00||FREE|
|Four Full Mouth X-Rays||D0210||$600.00||FREE|
|Four Bitewing - Single Radiographic Image||D0270||$136.00||FREE|
|Four Child Teeth Cleanings||D1120||$340.00||FREE|
|Single Tooth Removal - Simple Extraction||D7140||$235.00||$70.00|
|Edit Procedures||You Pay||$2,335.00||$70.00|
If you join today, you can start using your plan on
Tuesday, October 23, 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.