Dental Plan 100

High Option- Plan Dentist

The Money Saver

Members Services Member
Pays
1st year

 Member
Pays
2nd year
Diagnostic Services- 100% Savings

Oral Examination and diagnosis
Full Mouth x-rays (once every 5 years)
Prophylaxis (once every 6-months)
Vitality Test, Emergency Pain Relief

 N/C
N/C
N/C
N/C		 N/C
N/C
N/C
N/C
Restorative Dentistry- 100% savings

Amalgam filling, primary and permanent teeth
(One Surface)
Composite, acrylic, plastic restorations
(One surface), Sedative base

 N/C

N/C		 N/C

N/C
Crown and Bridge- 75% savings

Porcelain with Metal (non-precious)Crown/Bridge
(per unit)
Composite, acrylic, plastic restorations
Sedative base

 285.00

N/C		 215.00

N/C
Periodontics / Endodontics- 80% savings

Subingival curettage, per quadrant
Pulp capping /  Recalcification
Culturing Canal
Root canal Therapy (one root)

 65.00
N/C
N/C
55.00		 45.00
N/C
N/C
55.00
Prosthetics- 85% savings

Complete upper and lower denture, per denture
Denture adjustments

 445.00
N/C		 205.00
N/C
>Oral Surgery- 90% savings

Alveolectomy, per quadrant
Post-operative visits
Simple extractions, uncomplicated
Impactions- Erupted/Soft Tissue
Local analgesia

 N/C
N/C
15.00
50.00
N/C		 N/C
N/C
15.00
50.00
N/C

Dental Plan Features

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