| Sample General Dentist Procedures |
National Fees As High As* |
Plan Fees
|
Plan Savings
|
| Initial Oral Exam |
$90.00
|
$30.00
|
67%
|
| Periodic Oral Exam |
$50.00
|
$10.00
|
80%
|
| X-Rays |
| Intraoral Complete Series |
$100.00
|
$50.00
|
50%
|
| Panoramic |
$75.00
|
$50.00
|
33%
|
| Regular Teeth Cleaning |
|
(Light Scaling & Polishing)
|
$75.00
|
$40.00
|
47%
|
| Deep Teeth Cleaning |
| (Full Mouth Debridement/ |
|
|
|
|
Removal of heavy tarter buildup)
|
$172.00
|
$60.00
|
65%
|
| Amalgam Filling (Silver Colored) |
|
1 Surface
|
$95.00
|
$55.00
|
42%
|
|
2 Surfaces
|
$120.00
|
$65.00
|
46%
|
| Composite Filling (Tooth Colored) |
|
1 Surface (Anterior)
|
$130.00
|
$75.00
|
42%
|
|
2 Surfaces (Anterior)
|
$170.00
|
$90.00
|
47%
|
| Sedative Filling (Temporary) |
$90.00
|
$40.00
|
56%
|
| Simple Extraction |
$100.00
|
$60.00
|
40%
|
| Root Canal |
|
Anterior
|
$465.00
|
$275.00
|
41%
|
|
Bicuspid
|
$550.00
|
$325.00
|
41%
|
| Porcelain Crown |
|
w/High Noble Metal
|
$800.00
|
$500.00
|
50%
|
| Complete Dentures |
|
(Upper or Lower)
|
$1100.00
|
$550.00
|
50%
|
| Orthodontic Treatment (Braces) |
| By General Dentist |
|
Children(Under Age 19)
|
$3700.00
|
$1850.00
|
50%
|
|
Adults (19 and Over)
|
$3900.00
|
$1950.00
|
50%
|
| |
*American Dental Association (ADA) 1995 National Survey of Dental
Fees Dental Economics, Annual Dental Fee Survey, 1996 Published
May, 1997
|
|
