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
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& Value

Smile Protection Plan

Smile Protection Plan

Summary of Savings and Discounted Fees

ADA Code Description Member Pays
Diagnostic and Preventative
0120Periodic oral evaluation - established patientSelect Your State
0140Limited oral evaluation - problem focusedSelect Your State
0150Comprehensive oral evaluation - new or established patientSelect Your State
0210Full mouth x-raysSelect Your State
0220First filmSelect Your State
0230Each additional filmSelect Your State
0272Bitewings - two filmsSelect Your State
0274Bitewings - four filmsSelect Your State
0330Panoramic FilmSelect Your State
1110Prophylaxis (cleaning) - adultSelect Your State
1120Prophylaxis (cleaning) - childSelect Your State
1206Topical application of fluoride varnishSelect Your State
1208Topical application of fluoride - excluding varnishSelect Your State
1351Sealant - per toothSelect Your State
Restorative - Fillings
2330Composite - one surface, anteriorSelect Your State
2331Composite - two surfaces, anteriorSelect Your State
2332Composite - three surfaces, anteriorSelect Your State
2391Composite - one surface, posteriorSelect Your State
2392Composite - two surfaces, posteriorSelect Your State
2393Composite - three surfaces, posteriorSelect Your State
Restorative Crowns
2740Crown - porcelain/ceramic substrateSelect Your State
2750Crown - porcelain fused to high noble metalSelect Your State
2751Crown - porcelain fused to base metalSelect Your State
2920Recementation - crownSelect Your State
2950Core buildupSelect Your State
2954Prefabricated post and coreSelect Your State
Endodontics - Root Canals - performed by General
3310Root canal (anterior)Select Your State
3320Root canal (bicuspid)Select Your State
Endodontics - Root Canals - performed by Specialist
3310Root canal (anterior)Select Your State
3320Root canal (bicuspid)Select Your State
3330Root canal (molar)Select Your State
Periodontics
4341Periodontal scaling and root planing - four or more teeth per quadrantSelect Your State
4355Full mouth debridementSelect Your State
4381Localized delivery of antimicrobial agentsSelect Your State
4910Periodontal maintenanceSelect Your State
ADA Code Description Member Pays
Prosthodontics - Dentures & Bridges
Dentures & Partials
5110Complete denture - maxillary (upper)Select Your State
5120Complete denture - mandibular (lower)Select Your State
5213Partial denture - maxillary (upper)Select Your State
5214Partial denture - mandibular (lower)Select Your State
5225Partial denture - flexible base - maxillary (upper)Select Your State
5226Partial denture - flexible base - mandibular (upper)Select Your State
Implant - Single Tooth
Total for Implant- Single ToothSelect Your State
Bridge - Fixed
6240Pontic - porcelain fused to high noble metalSelect Your State
6241Pontic - porcelain fused to base metalSelect Your State
6245Pontic - porcelain/ceramicSelect Your State
6740Crown - porcelain/ceramicSelect Your State
6750Crown - porcelain fused to high noble metalSelect Your State
6751Crown - porcelain fused to base metalSelect Your State
Oral Surgery - Extractions performed by General
7111Extraction, deciduous toothSelect Your State
7140Extraction, erupted toothSelect Your State
7210Surgical removal of erupted toothSelect Your State
Oral Surgery - Extractions performed by Specialist
7111Extraction, deciduous toothSelect Your State
7140Extraction, erupted toothSelect Your State
7210Surgical removal of erupted toothSelect Your State
7220Removal of impacted tooth - soft tissueSelect Your State
7230Removal of impacted tooth - partially bonySelect Your State
7240Removal of impacted tooth - completely bonySelect Your State
Other Services
9230Inhalation of nitrous oxide/analgesia, anxiolysisSelect Your State
9911Application of desensitizing resinSelect Your State
9940Occlusal guard, by reportSelect Your State

Click here to view your state's General Dentist Fee Schedule.