Savings Summary
ADA CodeProcedure DescriptionMember Pays*
Preventative & Diagnostic
0120 Periodic Exam NO CHARGE
0150 Comprehensive Exam NO CHARGE
0210 Full Mouth X-Rays NO CHARGE
0273 Bitewings - Four Images NO CHARGE
0330 Panoramic X-Rays NO CHARGE
1110 Adult Cleaning 30% Off
1120 Child Cleaning 30% Off
1351 Sealant - Per Tooth 30% Off
Restorative
2330 Filling - 1 Surface, Anterior 30% Off
2392 Filling - 1 Surfaces, Posterior 30% Off
2740 Crown - Porcelain/Ceramic 30% Off
2750 Crown - Porcelain/High Noble Metal 30% Off
2950 Core Buildup 30% Off
Endodontics & Periodontics
3320 Root Canal - Bicuspid 30% Off
3330 Root Canal - Molar 30% Off
4341 Perio scaling & root planing - (4+ teeth per quad) 30% Off
Prosthodontics & Oral Surgery
7140 Simple Extraction 30% Off
7210 Surgical Extraction 30% Off

*Member savings may vary by location. Free exams limited to 2x per member/per annual membership term. Free x-rays limited to 1x per member/per annual membership term.