Our discount dental plans offer pre-negotiated savings at participating dentists on a wide range of dental procedures including cleanings, diagnostic exams, x-rays, fillings, crowns and more. Members save an average of 20%-50%1 on most dental services. The dental specialists offer 20% savings for dental services including implants and orthodontics.
Not sure what a dental term means? See the dental term glossary.
|Diagnostic (Exams, X-Rays)|
|ADA Code||Dental Procedure||Normal Full Fee**||Plan Discounted Fee||Savings|
|D0120||Periodic oral evaluation - established patient||$72||$27||63%|
|D0140||Limited oral evaluation - problem focused||$107||$45||58%|
|D0150||Comprehensive oral evaluation - new or established patient||$126||$46||63%|
|D0160||Detailed and extensive oral evaluation - problem focused, by report||$209||$121||42%|
|D0170||Re-evaluation - limited, problem focused (established patient; not post-operative visit)||$99||$33||67%|
|D0180||Comprehensive periodontal evaluation - new or established patient||$135||$37||73%|
|D0210||Intraoral - complete series of radiographic images||$221||$81||63%|
|D0220||Intraoral - periapical first radiographic image||$50||$15||70%|
|D0230||Intraoral - periapical each additional radiographic image||$43||$13||70%|
|D0240||Intraoral - occlusal radiographic image||$77||$23||70%|
|D0250||Extra-oral - 2D projection radiographic image created using a stationary radiation source, and detector||$117||$31||74%|
|D0270||Bitewing - single radiographic image||$40||$16||60%|
|D0272||Bitewings - two radiographic images||$63||$25||60%|
|D0273||Bitewings - three radiographic images||$77||$30||61%|
|D0274||Bitewings - four radiographic images||$89||$36||60%|
|D0277||Vertical bitewings - 7 to 8 radiographic images||$137||$45||67%|
|D0330||Panoramic radiographic image||$152||$66||57%|
|D0340||2D cephalometric radiographic image - acquisition, measurement and analysis||$164||$81||51%|
|D0350||2D oral/facial photographic image obtained intra-orally or extra-orally||$97||$38||61%|
|D0460||Pulp vitality tests||$79||$32||59%|
*These fees represent the CI-6 fee schedule. Normal cost is based on the 90th percentile of HIAA in your area. Fees not listed will receive a 20% discount.
**Prices subject to change.
Current Dental Terminology © American Dental Association