|
DENTAL PROGRAM |
EXAMPLE OF DENTAL SAVINGS
| General Dentist Procedure | Typical Price | Formulated Price | Percentage of Savings |
|---|---|---|---|
| Periodic Oral Evaluation | $39 | $20 | 49% |
| Adult Teeth Cleaning (Prophylaxis) | $74 | $39 | 47% |
| X-Rays Intraoral Complete Series (including Bitewings) | $107 | $57 | 45% |
| Panoramic Film | $88 | $48 | 46% |
| Filling One Surface (silver) | $102 | $53 | 48% |
| Filling One Surface (tooth colored) | $123 | $62 | 49% |
| Porcelain Crown w/ High Noble Metal | $879 | $501 | 43% |
| Root Canal-Anterior (excluding final restoration) | $564 | $308 | 45% |
| Local Anesthesia | $49 | $14 | 71% |
| Pulp Cap Indirect (excluding final restoration) | $67 | $31 | 64% |
| Complete Denture (lower) | $1,323 | $659 | 50% |
| Replacement of Denture Teeth (each) | $146 | $60 | 59% |
| Orthodontic Treatment (Braces) | $4,513 | $3,610 | 20% |
Note: All savings shown on
this page are examples and will vary