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FEE SCHEDULE

Discount Dental Plan Fee Schedule

As a member of the Wellness Dental Plan you will save 20% to 25% off of dental procedures depending on the plan you select.
Here are some examples of savings based on the most commonly performed dental procedures. If you have any questions or would like more  information, please call us at 877-636-5153

PREMIER PLAN SAVINGS BASIC PLAN SAVINGS
Procedure Usual Fee Wellness Dental Plan
typical discounted fee
Members
Savings
Savings
Percentage
Wellness Dental Plan
typical discounted fee
Members
Savings
Savings
percentage
Comprehensive Exam $98 Included $98 $78 $20 20%
Periodic Exam $53 Included $53 $42 $11 20%
Full Mouth series of x-rays $156 Included $156 $125 $31 20%
Bitewing x-rays -four images $70 Included $70 $56 $14 20%
Prophylaxis (Cleaning) Adult $107 Included $107 $86 $21 20%
Prophylaxis (Cleaning) Child $88 Included $88 $70 $18 20%
Panoramic x-rays $132 Included $132 $106 $26 20%
Sealant - Per tooth $57 $43 $14 25% $46 $11 20%
One Surface composite-anterior $157 $118 $39 25% $126 $31 20%
Two Surface composite-anterior $206 $155 $52 25% $165 $41 20%
One Surface composite-posterior $193 $145 $48 25% $154 $39 20%
Two Surface composite-posterior $247 $185 $62 25% $198 $49 20%
Crown - Porcelain $1293 $970 $323 25% $1034 $259 20%
Root Canal - Anterior $1026 $770 $257 25% $821 $205 20%
Root Canal - Molar $1411 $1058 $353 25% $1129 $282 20%
Periodontal Scaling & Root Planning $262 $197 $66 25% $210 $52 20%
Periodontal Scaling & Root Planning $189 $142 $47 25% $151 $38 20%
Periodontal Maintenance $147 $110 $37 25% $118 $29 20%
Complete Denture (Upper) $2250 $1688 $563 25% $1800 $450 20%
Complete Denture (Lower) $2250 $1688 $563 25% $1800 $450 20%
Implant - Single Tooth $2200 $1650 $550 25% $1760 $440 20%
Invisalign $6866 $5150 $1717 25% $5193 $1373 20%
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