In most instances, members save 15-50%* per visit on certain dental services including: braces, cleanings, x-rays, root canals, crowns, dentures, implants and more! Save at general dentists and specialists such as Endodontist, Orthodontist, Periodontists, Oral Surgeons and other specialists, more than 262,000** dental practice locations available nationwide.
If you join today, you can start using your plan immediately.
Family members include card holder, spouse, and legal dependents up to the age of 18 or up to the age of 25 as long as they are full time students.
Discounted fees are Sample Savings based on General Dentist Fees. Dental Fees for this program vary by Dentist.
| Dental Procedure | Procedure Code | Usual Fee ¹ | Discounted Fee | Member Savings |
|---|---|---|---|---|
| Periodic Oral Exam | D0120 | $73 | $35 | $38 |
| Comprehensive Oral Exam | D0150 | $113 | $49 | $64 |
| X-Ray, Intraoral - Complete Series Including Bitewing | D0210 | $168 | $87 | $81 |
| X-Ray, Bitewings - Four Films | D0274 | $82 | $41 | $41 |
| X-Ray Panoramic Film | D0330 | $145 | $73 | $72 |
| Cleaning (Prophylaxis) - Adult | D1110 | $127 | $68 | $59 |
| Cleaning (Prophylaxis) - Child | D1120 | $93 | $51 | $42 |
| Sealant Per Tooth | D1351 | $74 | $36 | $38 |
| Filling - 1 Surface Resin (White) Filling, Front (Anterior) Tooth | D2330 | $204 | $102 | $102 |
| Crown - Porcelain Fused to High Noble Metal (i.e. gold) | D2750 | $1312 | $829 | $483 |
| Restorative Crown - Porcelain Fused to Noble Metal | D2752 | $1306 | $787 | $519 |
| Root Canal Front Tooth (Anterior) Excluding Final Restoration | D3310 | $880 | $536 | $344 |
| Root Canal Premolar Tooth (Bicuspid), Excluding Final Restoration | D3320 | $987 | $638 | $349 |
| Root Canal Molar, Excluding Final Restoration | D3330 | $1226 | $859 | $367 |
| Osseous Surgery, Four Or More Contiguous Teeth - Modifies Bony Support of Teeth | D4260 | $1175 | $853 | $322 |
| Scaling/Root Planing Four or More Contiguous Teeth | D4341 | $274 | $160 | $114 |
| Periodontal Maintenance For Patients Who Have Been Previously Treated For Periodontal Disease. | D4910 | $171 | $91 | $80 |
| Complete Upper Denture (Maxillary) | D5110 | $1441 | $1003 | $438 |
| Extraction of Erupted Tooth or Exposed Root - Includes Local Anesthesia and Suturing If Needed | D7140 | $229 | $101 | $128 |
| Comprehensive Orthodontic Treatment Child | D8080 | $5952 | $3484 | $2468 |
Actual costs and savings may vary by provider, service and geographic location. We use the average of negotiated fees
from participating providers to determine the average costs, as shown on the chart.
¹ The select regional average cost represents the average fees for the procedures listed above in Los Angeles, Orlando,
Chicago and New York City, as displayed in the cost of care tool as of June 2020.