ADA CodeProcedure DescriptionMember Pays*
Preventative, Diagnostic, & Hygiene
D0120 Periodic Exam NO CHARGE
D0150 Comprehensive Exam NO CHARGE
D0140 Limited Exam - Problem Focused NO CHARGE
D0210 Full Mouth X-Rays NO CHARGE
D0274 Bitewings - 4 Images NO CHARGE
D0330 Panoramic X-Rays NO CHARGE
D0220 Periapical X-Rays NO CHARGE
D1110 Adult Preventative Hygiene 30% Off
D0431 Oral Cancer Screening 30% Off
D1208 Fluoride 30% Off
Gum Disease Treatments
D4910 Periodontal Maintenance 20% Off
D4341 Perio Scaling / Root Planing - per quad 20% Off
Miscellaneous Hygiene Services 20% Off
Major Services
D6010 Implants 20% Off
D2740 Crowns 20% Off
D6245 Bridges 20% Off
D2950 Core Buildup 20% Off
Dentures 20%+ Off
Basic Dentures $300-$400 Off
Basic Services
D2140 Fillings 15% off
D7140 Simple Extraction 15% off
D9000 Miscellaneous General Dentistry 15% off
Transformative
Take - Home Whitening Kits 20% Off
Motto® Clear Aligners 10% Off
This is just a Savings Summary - ADDITIONAL DISCOUNTS MAY BE AVAILABLE, SEE YOUR DENTAL OFFICE FOR COMPLETE LIST OF SAVINGS

Unless otherwise specified in this fee schedule, plan discounts do not apply to services performed by a dental specialist (i.e., periodontics, endodontics, orthodontics, and oral surgery) or dental hygiene products (e.g., chlorhexidine, toothbrushes, etc.). Member savings and plan incentives are exclusive to participating dental offices. Exact member savings and availability of certain procedures may vary by location. Free exams and x-rays limited to 2x per member/per annual membership term.