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||$58||$27||53%|
|D0140||Limited oral evaluation - problem focused||$88||$45||49%|
|D0150||Comprehensive oral evaluation - new or established patient||$102||$46||55%|
|D0160||Detailed and extensive oral evaluation - problem focused, by report||$178||$121||32%|
|D0170||Re-evaluation - limited, problem focused (established patient; not post-operative visit)||$83||$33||60%|
|D0180||Comprehensive periodontal evaluation - new or established patient||$110||$37||66%|
|D0210||Intraoral - complete series of radiographic images||$152||$81||47%|
|D0220||Intraoral - periapical first radiographic image||$33||$15||55%|
|D0230||Intraoral - periapical each additional radiographic image||$29||$13||55%|
|D0240||Intraoral - occlusal radiographic image||$48||$23||52%|
|D0250||Extraoral - first radiographic image||$73||$31||58%|
|D0260||Extraoral - each additional radiographic image||$61||$30||51%|
|D0270||Bitewing - single radiographic image||$33||$16||52%|
|D0272||Bitewings - two radiographic images||$52||$25||52%|
|D0273||Bitewings - three radiographic images||$64||$30||53%|
|D0274||Bitewings - four radiographic images||$74||$36||51%|
|D0277||Vertical bitewings - 7 to 8 radiographic images||$113||$45||60%|
|D0330||Panoramic radiographic image||$128||$66||48%|
|D0340||Cephalometric radiographic image||$140||$81||42%|
|D0350||2D oral/facial photographic image obtained intra-orally or extra-orally||$82||$38||54%|
|D0460||Pulp vitality tests||$66||$32||52%|
*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