Summary of Discounts

You have a choice when it comes to oral health. Enroll today and immediately enjoy discounts on dental services to make your smile bright, and your mouth healthy. Once your payment is processed, you are immediately eligible for discounts on your dental services.

Your Plan
For Savings
& Value

Smile Protection Plan

Smile Protection Plan

Summary of Savings and Discounted Fees

ADA Code Description Member Pays
Diagnostic and Preventative
0120 Periodic oral evaluation - established patient Select Your State
0140 Limited oral evaluation - problem focused Select Your State
0150 Comprehensive oral evaluation - new or established patient Select Your State
0210 Full mouth x-rays Select Your State
0220 First film Select Your State
0230 Each additional film Select Your State
0272 Bitewings - two films Select Your State
0274 Bitewings - four films Select Your State
0330 Panoramic Film Select Your State
1110 Prophylaxis (cleaning) - adult Select Your State
1120 Prophylaxis (cleaning) - child Select Your State
1206 Topical application of fluoride varnish Select Your State
1208 Topical application of fluoride - excluding varnish Select Your State
1351 Sealant - per tooth Select Your State
Restorative - Fillings
2330 Composite - one surface, anterior Select Your State
2331 Composite - two surfaces, anterior Select Your State
2332 Composite - three surfaces, anterior Select Your State
2391 Composite - one surface, posterior Select Your State
2392 Composite - two surfaces, posterior Select Your State
2393 Composite - three surfaces, posterior Select Your State
Restorative Crowns
2740 Crown - porcelain/ceramic substrate Select Your State
2750 Crown - porcelain fused to high noble metal Select Your State
2751 Crown - porcelain fused to base metal Select Your State
2920 Recementation - crown Select Your State
2950 Core buildup Select Your State
2954 Prefabricated post and core Select Your State
Endodontics - Root Canals - performed by General
3310 Root canal (anterior) Select Your State
3320 Root canal (bicuspid) Select Your State
Endodontics - Root Canals - performed by Specialist
3310 Root canal (anterior) Select Your State
3320 Root canal (bicuspid) Select Your State
3330 Root canal (molar) Select Your State
Periodontics
4341 Periodontal scaling and root planing - four or more teeth per quadrant Select Your State
4355 Full mouth debridement Select Your State
4381 Localized delivery of antimicrobial agents Select Your State
4910 Periodontal maintenance Select Your State
ADA Code Description Member Pays
Prosthodontics - Dentures & Bridges
Dentures & Partials
5110 Complete denture - maxillary (upper) Select Your State
5120 Complete denture - mandibular (lower) Select Your State
5213 Partial denture - maxillary (upper) Select Your State
5214 Partial denture - mandibular (lower) Select Your State
5225 Partial denture - flexible base - maxillary (upper) Select Your State
5226 Partial denture - flexible base - mandibular (upper) Select Your State
Implant - Single Tooth
Total for Implant- Single Tooth Select Your State
Bridge - Fixed
6240 Pontic - porcelain fused to high noble metal Select Your State
6241 Pontic - porcelain fused to base metal Select Your State
6245 Pontic - porcelain/ceramic Select Your State
6740 Crown - porcelain/ceramic Select Your State
6750 Crown - porcelain fused to high noble metal Select Your State
6751 Crown - porcelain fused to base metal Select Your State
Oral Surgery - Extractions performed by General
7111 Extraction, deciduous tooth Select Your State
7140 Extraction, erupted tooth Select Your State
7210 Surgical removal of erupted tooth Select Your State
Oral Surgery - Extractions performed by Specialist
7111 Extraction, deciduous tooth Select Your State
7140 Extraction, erupted tooth Select Your State
7210 Surgical removal of erupted tooth Select Your State
7220 Removal of impacted tooth - soft tissue Select Your State
7230 Removal of impacted tooth - partially bony Select Your State
7240 Removal of impacted tooth - completely bony Select Your State
Other Services
9230 Inhalation of nitrous oxide/analgesia, anxiolysis Select Your State
9911 Application of desensitizing resin Select Your State
9940 Occlusal guard, by report Select Your State