Member Savings

The Member Savings table below outlines the typical costs for dental procedures as well as the discounts and savings available through a Patient’s Choice Dental Plan membership.

Special Savings for Members on Routine Visits

 Usual Fee* Patient's Choice Fee Member Savings
1st Routine 6-Month Adult Cleaning and Exam 115 67 42%
2nd Routine 6-Month Adult Cleaning and Exam 115 FREE** 100%
Total Cost for 2 Routine 6-Month Cleanings and Exams 230 67 71%
* The Patient’s Choice Usual Fee represents regional averages. Your provider fees may vary.

** With Premium Providers, members pay the discounted fee for their 1st cleaning and exam and get their 2nd cleaning and exam (with the same provider) for free. X-rays billed separately.

Cleanings / Fluoride

 Usual Fee* Patient's Choice Fee Member Savings
Routine 6-Month Cleaning - Adult 75 45 40%
Routine 6-Month Cleaning - Child 53 32 40%
Fluoride Application 27 17 37%

Dentist Exam / Check-Up

 Usual Fee* Patient's Choice Fee Member Savings
Routine 6-Month Exam 40 22 46%
In Depth / New Patient Exam 50 33 34%

X-Rays

 Usual Fee* Patient's Choice Fee Member Savings
Full Mouth X-Rays 104 64 39%
Single Tooth - Detailed X-Ray 18 12 33%
4 Bitewing X-Rays 49 29 40%
Panoramic X-Ray 87 55 37%

Periodontics

 Usual Fee* Patient's Choice Fee Member Savings
Periodontal Scaling & Root Planing (4+ teeth) 208 111 47%
Periodontal Maintenance 95 64 33%
Application of Protective Sealant-per tooth 43 26 38%

Fillings - Amalgam

 Usual Fee* Patient's Choice Fee Member Savings
Amalgam- 1 surface 90 57 37%
Amalgam- 2 surface 109 71 35%
Amalgam- 3 surface 130 85 34%
Amalgam- 4 or more surfaces 155 104 33%

Fillings - Composite (Tooth Colored)

   Usual Fee* Patient's Choice Fee Member Savings
1 Surface White, Front Tooth 121 70 42%
2 Surface White, Front Tooth 130 90 31%
3 Surface White, Front Tooth 156 107 32%
4 Surface White, Front Tooth 193 119 39%
1 Surface White, Back Tooth 114 84 26%
2 Surface White, Back Tooth 145 108 25%
3 Surface White, Back Tooth 175 134 24%
4+ Surface White, Back Tooth 203 152 25%

Crowns and Bridges

 Usual Fee* Patient's Choice Fee Member Savings
Single Crown - Porcelain 867 623 28%
Single Crown - Porcelain on Base Metal 830 559 33%
Re-cement Crown 88 48 45%
Core Buildup Including Pins 218 112 48%
Prefabricated Post and Core 235 148 37%

Endodontics (Root Canals)

 Usual Fee* Patient's Choice Fee Member Savings
Root Canal - Front Tooth 542 366 32%
Root Canal - Bicuspid 646 433 33%
Root Canal - Molar 829 565 32%

Prosthodontics - Dentures

 Usual Fee* Patient's Choice Fee Member Savings
Complete Upper or Lower Denture 1183 698 41%
Reline Upper or Lower Denture 338 219 35%
Partial Upper or Lower Denture - Cast Metal Framework 1248 776 38%
Adjust Denture 49 38 23%

Oral Surgery

 Usual Fee* Patient's Choice Fee Member Savings
Tooth Extraction - Erupted Tooth or Exposed Root 108 64 41%
Surgical Extraction 186 115 38%

General Services (Adjunctive)

 Usual Fee* Patient's Choice Fee Member Savings
Palliative (Emergency) Treatment of Dental Pain 82 43 48%
Occlusal Guard (Night Guard) 451 292 35%

Most Specialist Services: 10% discount applied to scheduled charge. Specialist Services include but not limited to: Orthodontia, Endodontia, Periodontia, Oral & Maxillofacial Surgery and Pediatric Dentistry.

To view a PDF of our detailed fee schedule, click here.

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