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%-70%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||$58||$0||100%|
|D0140||Limited oral evaluation - problem focused||$88||$17||81%|
|D0150||Comprehensive oral evaluation - new or established patient||$102||$13||87%|
|D0160||Detailed and extensive oral evaluation - problem focused, by report||$178||$39||78%|
|D0170||Re-evaluation - limited, problem focused (established patient; not post-operative visit)||$83||$21||75%|
|D0180||Comprehensive periodontal evaluation - new or established patient||$110||$25||77%|
|D0210||Intraoral - complete series of radiographic images||$152||$35||77%|
|D0220||Intraoral - periapical first radiographic image||$33||$6||82%|
|D0230||Intraoral - periapical each additional radiographic image||$29||$6||79%|
|D0240||Intraoral - occlusal radiographic image||$48||$5||90%|
|D0250||Extraoral - first radiographic image||$73||$5||93%|
|D0260||Extraoral - each additional radiographic image||$61||$5||92%|
|D0270||Bitewing - single radiographic image||$33||$0||100%|
|D0272||Bitewings - two radiographic images||$52||$0||100%|
|D0273||Bitewings - three radiographic images||$64||$0||100%|
|D0274||Bitewings - four radiographic images||$74||$0||100%|
|D0277||Vertical bitewings - 7 to 8 radiographic images||$113||$0||100%|
|D0330||Panoramic radiographic image||$128||$54||58%|
|D0340||Cephalometric radiographic image||$140||$61||56%|
|D0460||Pulp vitality tests||$66||$0||100%|
|D0998||Emergency Visit (Same Day)||$90||$25||72%|
|D0999||Unspecified diagnostic procedure, by report||$35||$5||86%|
* These amounts do not include the actual cost of the procedure lab fees.
** Normal Full Fee amounts and discounted fee amounts are based upon zip code 80231. These amounts will vary based upon the zip code of services provided outside of Colorado. Prices subject to change.