Fee
Comparison and Savings |
| |
|
|
|
| Dental Procedures |
Usual
Fee |
Member
Fee |
Member
Savings |
| 0120 |
Periodic Exam |
$51 |
$20 |
$31 |
| 0140 |
Emergency Exam |
$75 |
$20 |
$55 |
| 0150 |
Complete Exam |
$92 |
$30 |
$62 |
| 0210 |
Full Mouth X-rays |
$127 |
$50 |
$77 |
| 0274 |
Bitewings-four Films |
$64 |
$28 |
$36 |
| 0330 |
Panoramic Film |
$107 |
$50 |
$57 |
| 1110 |
Adult Cleaning |
$95 |
$45 |
$50 |
| 1120 |
Child Cleaning |
$91 |
$45 |
$46 |
| 2330 |
White Filling |
$155 |
$65 |
$90 |
| 2750 |
Crown |
$959 |
$550 |
$409 |
| 2952 |
Cast Post and Core |
$450 |
$170 |
$280 |
| 3310 |
Root Canal - Anterior |
$693 |
$375 |
$318 |
| 3320 |
Root Canal - Bicupid |
$789 |
$475 |
$314 |
| 3330 |
Root Canal - Molar |
$967 |
$575 |
$392 |
| 4341 |
Perio Scaling and Root Planing (PerQuadrant) |
$240 |
$95 |
$145 |
| 7110 |
Tooth Extraction |
$160 |
$65 |
$95 |
| 9972 |
Tooth Whitening |
$848 |
$300 |
$548 |
| |
INVISALIGN (clear braces) |
$6,000 |
$4,400 |
$1,600 |
| |
|
|
| |
|
Prices subject
to change in 2005 |
Enroll now and receive certificates
for a FREE Comprehensive Exam and
a $200 gift certicate off a professional
tooth whitening (valid for 90 days).
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