Savings Summary

Maximize the value of membership with exclusive member discounts on all dental services.

Code Procedure Description Retail Fee* Member Fee* Member Savings*
D0120 Periodic Exam $77 $25 68%
D0140 Limited Exam $120 NO CHARGE 100%
D0150 Comprehensive Exams $127 NO CHARGE 100%
D0210 Full Mouth X-Rays $189 $25 87%
D0330 Panoramic X-Rays $186 $50 73%
D0431 Oral Cancer Screening $93 NO CHARGE 100%
D1110 Adult Cleaning $129 $65 50%
D1120 Child Cleaning $95 $55 42%
D1351 Sealant - Per Tooth $71 $50 30%
D1510 Space Maintainer - Fixed, Unilateral $447 $313 30%
D1516 Space Maintainer - Fixed, Bilateral $626 $438 30%
D2330 Composite Filling - One Surface, Anterior $230 $161 30%
D2331 Composite Filling - Two Surfaces, Anterior $294 $206 30%
D2332 Composite Filling - Three Surfaces, Anterior $360 $252 30%
D2335 Composite Filling - Four/More Surfaces, Anterior $425 $298 30%
D2391 Composite Filling - One Surface, Posterior $270 $189 30%
D2392 Composite Filling - Two Surfaces, Posterior $353 $247 30%
D2393 Composite Filling - Three Surfaces, Posterior $473 $331 30%
D2740 Crown - Porcelain/Ceramic $1,905 $1,335 30%
D2750 Crown - Porcelain/High Noble Metal $1,779 $999 44%
D2930 Prefabricated Stainless Steel Crown $375 $262 30%
D2950 Core Buildup $358 $252 30%
D3310 Root Canal - Anterior $1,335 $934 30%
D3320 Root Canal - Bicuspid $1,462 $1,023 30%
D3330 Root Canal - Molar $1,683 $1,178 30%
D4341 Perio Scaling and Root Planing, Per Quadrant $366 $256 30%
D4355 Full Mouth Debridement $245 $171 30%
D4910 Periodontal Maintenance $221 $155 30%
D5110 Complete Denture - Upper $2,339 $1,637 30%
D5120 Complete Denture - Lower $2,339 $1,637 30%
D5213 Partial Denture - Upper 2,584 1,809 30%
D5214 Partial Denture - Lower 2,584 1,809 30%
D6750 Porcelain Retainer Crown $1779 $1,247 30%
D7140 Simple Extraction $243 $170 30%
D7210 Surgical Extraction $384 $269 30%
D8030 Limited Orthodontic Treatment - Child $TBD $TBD 30%
D8040 Limited Orthodontic Treatment - Adult $TBD $TBD 30%
All Other Services $TBD $TBD 30%

*Member savings may vary by location. Free exams limited to 2x per member/per annual membership term.