| Sample General Dentist Procedures |
National Fees as high as * |
Plan Fees |
Plan Savings |
| Initial Oral exam |
$90.00
|
$18.00
|
80%
|
| Periodic Oral Exam |
$40.00
|
$ 8.00
|
80%
|
| X-Rays |
| Intraoral Complete Series |
$90.00
|
$20.00
|
78%
|
| Panoramic |
$75.00
|
$20.00
|
73%
|
| Regular Teeth Cleaning |
|
|
|
|
(Light Scaling and Polishing)
|
$65.00
|
$20.00
|
69%
|
| Deep Teeth Cleaning |
|
(Full Mouth Debridement/ Removal of heavy tartar buildup)
|
$120.00
|
$60.00
|
50%
|
| Amalgam Filling (Silver Colored) |
|
1 Surface
|
$85.00
|
$30.00
|
65%
|
|
2 Surfaces
|
$104.00
|
$45.00
|
57%
|
| Composite Filling (Tooth Colored) |
|
1 Surface(Anterior)
|
$110.00
|
$50.00
|
55%
|
| 2 Surface (Anterior) |
$135.00
|
$70.00
|
48%
|
| Sedative Filling (Temporary) |
$75.00
|
$25.00
|
67%
|
| Simple Extraction |
$100.00
|
$45.00
|
55%
|
| Root Canal |
|
Anterior
|
$450.00
|
$250.00
|
45%
|
|
Bicuspid
|
$525.00
|
$300.00
|
43%
|
| Porcelain Crown |
| w/High Noble Metal |
$800.00
|
$475.00
|
41%
|
| Complete Dentures |
|
Upper or Lower
|
$1100.00
|
$500.00
|
55%
|
| Orthodontic Treatment (Braces) |
| by General Dentist |
| Children (Under Age 19) |
$3850.00
|
$1950.00
|
50%
|
| Adults (19 and Over) |
$4100.00
|
$2050.00
|
50%
|
| |
*American Dental Association (ADA) 1995 National Survey of Dental Fees Dental Economics, Annual Dental Fee Survey, 1996 Published May, 1997
|
