Savings Summary
ADA CodeProcedure DescriptionMember Pays*
Preventive & Diagnostic
Periodic ExamNO CHARGE
D0140Limited Exam - Problem FocusedNO CHARGE
D0150Comprehensive ExamNO CHARGE
Full Mouth X-RaysNO CHARGE
D1110Adult Cleaning30% off
Basic Services
D2330Filling - 1 Surface, Anterior20% off
Root Canal - Anterior20% off
D4910Periodental Maintenance20% off
Prosthodontics & Oral Surgery
D7210Surgical Extraction20% Off

*Member savings may vary by location. Free exams and x-rays limited to 2x per member/per annual membership term.