Savings Summary
We commit to provide the industry's most affordable dental services. No exceptions. Make the move to Assured Savings Plan, you'll see and feel the difference!
| ADA Code | Procedure Description | Member Pays* |
|---|---|---|
| DIAGNOSTIC & PREVENTATIVE | ||
| D0120 | Periodic Exam* | FREE |
| D0140 | Limited Oral Evaluation - Problem Focused* | FREE |
| D0150 | Comprehensive Oral Evaluation* | FREE |
| D0210 | Full Mouth X-Rays* | FREE |
| D1110 | Adult Cleaning* | FREE |
| D0220 | Periapical X-Ray | 20% Off |
| D1351 | Sealant - Per Tooth | 20% Off |
| D0272 | Bitewings - 2 Images | 20% Off |
| D0274 | Bitewings - 4 Images | 20% Off |
| D0330 | Panoramic X-Rays | 20% Off |
| D4341 | Perio Scaling/Root Planing - 4+ teeth | 20% Off |
| D4342 | Perio scaling / root planing - 1-3 teeth per quad | 20% Off |
| D4910 | Periodontal Maintenance | 20% Off |
| D1208 | Topical Application of Fluoride | 20% Off |
| RESTORATIVE | ||
| D2330 | Composite Filling - One Surface, Anterior | 20% Off |
| D2331 | Composite Filling - Two Surface, Anterior | 20% Off |
| D2332 | Composite Filling - Three Surface, Anterior | 20% Off |
| D2391 | Composite Filling - One Surface, Posterior | 20% Off |
| D2392 | Composite Filling - Two Surface, Posterior | 20% Off |
| D2393 | Composite Filling - Three Surface, Posterior | 20% Off |
| D2740 | Crown - Porcelain/Ceramic | 20% Off |
| D2750 | Crown - Porcelain/High Noble Metal | 20% Off |
| D2790 | Crown - Full Cast High Noble Metal | 20% Off |
| D2930 | Crown - Prefab Stainless Steel Crown - Primary Tooth | 20% Off |
| D2950 | Core Buildup | 20% Off |
| SPECIALTY | ||
| D3120 | Pulp Cap - Indirect | 20% Off |
| D3320 | Root Canal - Bicuspid | 20% Off |
| D3330 | Root Canal - Molar | 20% Off |
| D7140 | Simple Extraction | 20% Off |
| D7210 | Surgical Extraction | 20% Off |
| D7220/D7230 | Removal of Impacted Tooth | 20% Off |
*Free exams, x-rays, and cleanings are limited to 2 per annual membership term. Services listed on Summary of Discounts, with the exception of Orthodontic services, are performed by your selected general dentist. Certain procedures may not be within the scope of practice or the ability of the general dentist.
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