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We have new fee schedules as of July 1st 2003. To view the schedule of fees, please click here.

 

 

 

 

 

 

 

 

 

 

Dental Fee Schedule

Available in these states
Questions? Chart Terms Explained

Sample General Dentist Procedures Dental Office Fees up to* Plan Fees Plan Savings
up to*

Initial Oral Exam $105 $18 83%
X-Rays:
  Intraoral Complete Series $130 $20 85%
  Panoramic $120 $20 83%
Regular Teeth Cleaning $100 $20 80%
Deep Teeth Cleaning $230 $60 74%
Amalgam Filling (Silver Colored):
  1 Surface (Anterior)
$130 $30 77%
2 Surfaces (Anterior) $160 $45 72%
  Composite Filling (Tooth Colored):
  1 Surface (Anterior) $155 $50 68%
  2 Surfaces (Anterior) $200 $70 65%
Root Canal:
  Anterior $685 $250 64%
  Posterior $820 $300 64%
Porcelain Crown $1,100 $475 57%
Orthodontic Treatment (Braces) by General Dentist:
  Children (under 19) $5,800 $1,950 66%
  Adults (19 and over) $6,100 $2,050 66%

*Source: National Dental Advisory Services
American Dental Association (ADA) 1999 National Survey of Dental Fees
Dental Economics, Annual Dental Fee Survey, 1998 published May, 1999

This fee schedule is available in AL, AR, GA, HI, MS, TN. For other states, please click here.

Click here for more information:

Dental Fee Schedule Terms Explained.
More Dental Coverage Information.

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