Programa Afiliados

¿Está buscando maneras de crear un flujo de ingresos con un trabajo de media jornada o a través de su página web o blog?

OmnivitaDental.com ofrece a particulares la oportunidad de ser su propio jefe y ganar ingresos residuales al promocionar y vender planes de descuento dental de OmnivitaDental.com. Hay tres categorís de Programas de Afiliados, por lo que tanto si es un ama de casa o un broker entrenado o profesional de ventas que es sociable y con confianza en los productos que vende, OmnivitaDental.com tiene un Programa de Afiliados para usted.

What We Look For

Individuos que se muevan por objetivos
Motivados y entusiasmados de ayudar a otros ahorrar en procedimientos dentales
Agradables, comprensivos y con los que sea fácil mantener una conversación
Individuos que sean consistentes y con ánimo de trabajar para utilizar estos programas a su máximo potencial

Aprenda Más Sobre
Afiliados En Casa

Aprenda Más Sobre
Afiliados En Línea

Aprenda Más Sobre
Sales Specialist

Programa Afiliados En Casa (At Home Affiliates)

El programa Afiliados En Casa (At Home Affiliates) de OmnivitaDental.com es idóneo para el profesional experimentado así como el vendedor principiante, ama de casa o jubilados que buscan unos ingresos extra. Ayude a sus amigos, familia y miembros de su comunidad a ahorrar en sus procedimientos dentales mediante la promoción y venta de un producto de calidad con una red de proveedores de servicios dentales establecidad y experimentada. Comercialice directamente a sus amigos, familia y miembros de su cominidad y ayúdeles a ahorrar en gastos dentales.

Qué Obtiene

Folletos informativos explicando cómo funciona el programa de afiliados
Lista de planes disponibles en su área
Unidades de prueba gratuitas para hacer márketin
Formularios de inscripción
20% de comisi&oacite;n de cada plan que venda
Y más...

¡Regístrese Ahora!

Únase al programa At Home Affiliate

¿Tiene preguntas sobre cómo funciona el programa de afiliación?

Visite nuestro FAQ para At Home Affiliates

Programa Afiliados En Línea (On-Line Affiliate)

Si tiene un sitio web o blog y está buscando maneras de conseguir más dinero, el programa On-Line Affiliate es para usted.

Qué Obtiene

Anuncios formato banner gratuitos
Enlaces de texto gratuitos
Alto pago por planes vendidos a través de sus links
El kit de lanzamiento de OmnivitaDental.com provee más información sobre nuestros productos e información sobre comisiones

¡Regístrese Ahora!

Regístrese para unirse al programa Online Affiliate

¿Tiene preguntas sobre cómo funciona el programa de afiliación?

Visite nuestro FAQ para Online Affiliates

Especialistas En Ventas (Sales Specialist)

Este programa de afiliación es para individuos que están altamente motivados y con experiencia en ventas. Los Especialistas En Ventas se centran en conseguir asociaciones con empleadores, minoristas, asociaciones, escuelas y otras organizaciones para ayudar a OmnivitaDental.com a ganar acceso a la mayor base de consumidores posible.

Qué Incluye

El pontencial de ingresos más alto
Estructura de comisión por niveles multi anual
Soporte de desarrollo de estrategia desde la administración de OmnivitaDental.com

¡Regístrese Ahora!

Únase al programa al Especialista En Ventas

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Series 501
ADA Code	Procedure	Typical Fee	You Pay	Savings
0120	Periodic Oral Evaluation - Established Patient	$51.30	$14	73%
0140	Limited Oral Evaluation - Problem Focused	$76.30	$18	76%
0150	Comprehensive Oral Evaluation - New Or Established Patient	$89.50	$18	80%
0210	Intraoral - Complete Series (Including Bitewings)	$130.60	$40	69%
0220	Intraoral - Periapical First Film	$28.60	$10	65%
0230	Intraoral - Periapical Each Additional Film	$24.90	$6	76%
0270	Bitewing - Single Film	$28.60	$10	65%
0272	Bitewing - Two Films	$45.60	$13	71%
0273	Bitewing - Three Films	$56.60	$17	70%
0274	Bitewing - Four Films	$66.10	$20	70%
0330	Panoramic Film	$110.00	$40	64%
1110	prophylaxis - adult	$91.30	$29	68%
1120	Prophylaxis - Adult	$66.90	$21	69%
1351	Sealant - Per Tooth	$55.50	$20	64%
1510	Space Maintainer - Fixed - Unilateral	$317.00	$87	73%
1515	Space Maintainer - Fixed - Bilateral	$427.40	$127	70%
1520	Space Maintainer - Removable - Unilateral	$388.20	$113	71%
1525	Space Maintainer - Removable - Bilateral	$487.50	$143	71%
2140	Amalgam - One Surface, Primary Or Permanent	$141.10	$40	72%
2150	Amalgam - Two Surfaces, Primary Or Permanent	$179.50	$51	72%
2160	Amalgam - Three Surfaces, Primary Or Permanent	$221.30	$60	73%
2161	Amalgam - Four Or More Surfaces, Primary Or Permanent	$259.00	$73	72%
2330	Resin-Based Composite - One Surface, Anterior	$163.40	$51	69%
2331	Resin-Based Composite - Two Surfaces, Anterior	$201.80	$61	70%
2332	Resin-Based Composite - Three Surfaces, Anterior	$252.50	$77	70%
2335	Resin-Based Composite - Four Or More Surfaces Or Involving Incisal Angle (Anterior)	$313.10	$98	69%
2391	Resin-Based Composite - One Surface, Posterior	$181.00	$64	65%
2392	Resin-Based Composite - Two Surfaces, Posterior	$234.70	$94	60%
2393	Resin-Based Composite - Three Surfaces, Posterior	$290.80	$119	59%
2394	Resin-Based Composite - Four Or More Surfaces, Posterior	$346.10	$138	60%
2710	Crown - Resin-Based Composite (Indirect)	$966.80	$191	80%
2720	Crown - Resin With High Noble Metal	$1,062.30	$403	62%
2750	Crown - Porcelain Fused To High Noble Metal	$1,118.50	$473	58%
2751	Crown - Porcelain Fused To Predominantly Base Metal	$1,030.60	$428	58%
2752	Crown - Porcelain Fused To Noble Metal	$1,054.00	$447	58%
2790	Crown - Full Cast High Noble Metal	$1,124.30	$465	59%
2791	Crown - Full Cast Predominantly Base Metal	$994.00	$417	58%
2930	Prefabricated Stainless Steel Crown - Primary Tooth	$267.40	$93	65%
2931	Prefabricated Stainless Steel Crown - Permanent Tooth	$325.50	$106	67%
2950	Core Buildup, Including Any Pins	$267.40	$93	65%
2951	Pin Retention - Per Tooth, In Addition To Restoration	$74.40	$23	69%
2952	Post And Core In Addition To Crown, Indirectly Fabricated	$418.10	$146	65%
2954	Prefabricated Post And Core In Addition To Crown	$333.90	$114	66%
3110	Pulp Cap - Direct (Excluding Final Restoration)	$82.80	$21	75%
3120	Pulp Cap - Indirect (Excluding Final Restoration)	$84.90	$21	75%
3220	Therapeutic Pulpotomy (Excluding Final Restoration) - Removal of Pulp Coronal to the Dentinocemental Junction and Application of Medicament	$198.20	$51	74%
3310	Endodontic Therapy, Anterior Tooth (Excluding Final Restoration)	$725.20	$272	62%
3320	Endodontic Therapy, Bicuspid Tooth (Excluding Final Restoration)	$836.80	$322	62%
3330	Endodontic Therapy, Molar (Excluding Final Restoration)	$1,013.70	$406	60%
4210	Gingivectomy Or Gingivoplasty - Four Or More Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant	$632.50	$271	57%
4341	Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant	$258.10	$94	64%
4910	Periodontal Maintenance	$139.20	$60	57%
5110	Complete Denture - Maxillary	$1,709.60	$595	65%
5120	Complete Denture - Mandibular	$1,709.60	$595	65%
5130	Immediate Denture - Maxillary	$1,826.50	$619	66%
5140	Immediate Denture - Mandibular	$1,827.30	$619	66%
5211	Maxillary Partial Denture - Resin Base (Including Any Conventional Clasps, Rests And Teeth)	$1,355.40	$583	57%
5212	Mandibular Partial Denture - Resin Base (Including Any Conventional Clasps, Rests And Teeth)	$1,358.30	$583	57%
5213	Maxillary Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps, Rests And Teeth)	$1,777.90	$675	62%
5214	Mandibular Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps, Rests And Teeth)	$1,779.70	$675	62%
5410	Adjust Complete Denture - Maxillary	$89.50	$34	62%
5411	Adjust Complete Denture - Mandibular	$89.50	$34	62%
5510	Repair Broken Complete Denture Base	$211.20	$53	75%
5520	Replace Missing Or Broken Teeth - Complete Denture (Each Tooth)	$187.80	$51	73%
5630	Repair Or Replace Broken Clasp	$262.60	$61	77%
5650	Add Tooth To Existing Partial Denture	$222.30	$53	76%
5660	Add Clasp To Existing Partial Denture	$271.20	$68	75%
5730	Reline Complete Maxillary Denture (Chairside)	$373.10	$126	66%
5731	Reline Complete Mandibular Denture (Chairside)	$370.30	$126	66%
5740	Reline Maxillary Partial Denture (Chairside)	$365.60	$120	67%
5741	Reline Mandibular Partial Denture (Chairside)	$370.30	$120	68%
5750	Reline Complete Maxillary Denture (Laboratory)	$477.10	$165	65%
5751	Reline Complete Mandibular Denture (laboratory)	$477.10	$165	65%
6040	Surgical Placement: Eposteal Implant	$8,130.50	20%	$1,626.10
6050	Surgical Placement: Transosteal Implant	$5,621.90	20%	$1,124.38
6065	Implant Supported Porcelain/Ceramic Crown	$1,556.90	20%	$311.38
6066	Implant Supported Porcelain Fused To Metal Crown (Titanium, Titanium Alloy, High Noble Metal)	$1,559.60	20%	$311.92
6067	Implant Supported Metal Crown (Titanium, Titanium Alloy, High Noble Metal)	$1,580.20	20%	$316.04
6240	Pontic - Porcelain Fused To High Noble Metal	$1,114.90	$411	63%
6241	Pontic - Porcelain Fused To Predominantly Base Metal	$1,030.60	$379	63%
6242	Pontic - Porcelain Fused To Noble Metal	$1,057.70	$395	63%
6750	Crown - Porcelain Fused To High Noble Metal	$1,119.50	$453	60%
6751	Crown - Porcelain Fused To Predominantly Base Metal	$1,013.70	$408	60%
6752	Crown - Porcelain Fused To Noble Metal	$1,047.40	$424	60%
7140	Extraction, Erupted Tooth Or Exposed Root (elevation And/or Forceps Removal)	$173.70	$51	71%
7210	Surgical Removal Of Erupted Tooth Requiring Removal Of Bone And/or Sectioning Of Tooth, And Including Elevation Of Mucoperiosteal Flap If Indicated	$275.70	$130	53%
7220	Removal Of Impacted Tooth - Soft Tissue	$312.20	$104	67%
7230	Removal Of Impacted Tooth - Partially Bony	$395.70	$136	66%
7240	Removal Of Impacted Tooth - Completely Bony	$482.60	$196	59%
7250	Surgical Removal Of Residual Tooth Roots (Cutting Procedure)	$312.20	$104	67%
7310	Alveoloplasty In Conjunction With Extractions - Four Or More Teeth Or Tooth Spaces, Per Quadrant	$305.00	$87	71%
7320	Alveoloplasty Not In Conjunction With Extractions -four Or More Teeth Or Tooth Spaces, Per Quadrant	$445.30	$125	72%
7510	Incision And Drainage Of Abscess - Intraoral Soft Tissue	$234.70	$64	73%
8070	Comprehensive Orthodontic Treatment Of The Transitional Dentition	$5,130.20	20%	$1,026.04
8080	Comprehensive Orthodontic Treatment Of The Adolescent Dentition	$5,182.70	20%	$1,036.54
8090	Comprehensive Orthodontic Treatment Of The Adult Dentition	$5,207.80	20%	$1,041.56
9110	Palliative (Emergency) Treatment Of Dental Pain - Minor Procedure	$129.60	$34	74%
9215	Local Anesthesia In Conjunction With Operative Or Surgical Procedures	$66.10	$12	82%
9230	Inhalation Of Nitrous Oxide / Anxiolysis, Analgesia	$80.10	$24	70%
9951	Occlusal Adjustment - Limited	$187.80	$47	75%
9952	Occlusal Adjustment - Complete	$699.90	$188	73%

Series 502
ADA Code	Procedure	Typical Fee	You Pay	Savings
0120	Periodic Oral Evaluation - Established Patient	$53.00	$15	72%
0140	Limited Oral Evaluation - Problem Focused	$79.36	$20	75%
0150	Comprehensive Oral Evaluation - New Or Established Patient	$92.82	$24	74%
0210	Intraoral - Complete Series (Including Bitewings)	$135.73	$46	66%
0220	Intraoral - Periapical First Film	$29.55	$11	63%
0230	Intraoral - Periapical Each Additional Film	$25.82	$8	69%
0270	Bitewing - Single Film	$29.55	$11	63%
0272	Bitewing - Two Films	$47.09	$14	70%
0273	Bitewing - Three Films	$58.82	$19	68%
0274	Bitewings - Four Films	$68.64	$23	66%
0330	Panoramic Film	$114.27	$46	60%
1110	Prophylaxis - Adult	$94.82	$34	64%
1120	Prophylaxis - Child	$69.55	$24	65%
1351	Sealant - Per Tooth	$57.91	$23	60%
1510	Space Maintainer - Fixed - Unilateral	$329.36	$98	70%
1515	Space Maintainer - Fixed - Bilateral	$444.00	$143	68%
1520	Space Maintainer - Removable - Unilateral	$403.09	$127	68%
1525	Space Maintainer - Removable - Bilateral	$506.27	$162	68%
2140	Amalgam - One Surface, Primary Or Permanent	$146.45	$46	69%
2150	Amalgam - Two Surfaces, Primary Or Permanent	$186.27	$57	69%
2160	Amalgam - Three Surfaces, Primary Or Permanent	$230.18	$69	70%
2161	Amalgam - Four Or More Surfaces, Primary Or Permanent	$268.82	$83	69%
2330	Resin-Based Composite - One Surface, Anterior	$169.82	$56	67%
2331	Resin-Based Composite - Two Surfaces, Anterior	$209.55	$69	67%
2332	Resin-Based Composite - Three Surfaces, Anterior	$262.00	$88	66%
2335	Resin-Based Composite - Four Or More Surfaces Or Involving Incisal Angle (Anterior)	$325.36	$108	67%
2391	Resin-Based Composite - One Surface, Posterior	$188.18	$75	60%
2392	Resin-Based Composite - Two Surfaces, Posterior	$243.82	$110	55%
2393	Resin-Based Composite - Three Surfaces, Posterior	$302.00	$136	55%
2394	Resin-Based Composite - Four Or More Surfaces, Posterior	$359.27	$155	57%
2710	Crown - Resin-Based Composite (Indirect)	$1,004.09	$213	79%
2720	Crown - Resin With High Noble Metal	$1,103.45	$452	59%
2750	Crown - Porcelain Fused To High Noble Metal	$1,161.73	$535	54%
2751	Crown - Porcelain Fused To Predominantly Base Metal	$1,070.27	$485	55%
2752	Crown - Porcelain Fused To Noble Metal	$1,094.64	$505	54%
2790	Crown - Full Cast High Noble Metal	$1,167.64	$527	55%
2791	Crown - Full Cast Predominantly Base Metal	$1,032.45	$491	52%
2930	Prefabricated Stainless Steel Crown - Primary Tooth	$277.55	$105	62%
2931	Prefabricated Stainless Steel Crown - Permanent Tooth	$338.00	$120	64%
2950	Core Buildup, Including Any Pins	$277.55	$105	62%
2951	Pin Retention - Per Tooth, In Addition To Restoration	$77.45	$25	68%
2952	Post And Core In Addition To Crown, Indirectly Fabricated	$434.45	$165	62%
2954	Prefabricated Post And Core In Addition To Crown	$346.73	$129	63%
3110	Pulp Cap - Direct (Excluding Final Restoration)	$86.09	$23	73%
3120	Pulp Cap - Indirect (Excluding Final Restoration)	$88.00	$23	74%
3220	Therapeutic Pulpotomy (Excluding Final Restoration) - Removal of Pulp Coronal to the Dentinocemental Junction and Application of Medicament	$205.64	$56	73%
3310	Endodontic Therapy, Anterior Tooth (Excluding Final Restoration)	$753.18	$308	59%
3320	Endodontic Therapy, Bicuspid Tooth (Excluding Final Restoration)	$869.00	$365	58%
3330	Endodontic Therapy, Molar (Excluding Final Restoration)	$1,052.82	$459	56%
4210	Gingivectomy Or Gingivoplasty - Four Or More Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant	$657.09	$313	52%
4341	Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant	$267.91	$104	61%
4910	Periodontal Maintenance	$144.55	$64	56%
5110	Complete Denture - Maxillary	$1,775.36	$672	62%
5120	Complete Denture - Mandibular	$1,775.36	$672	62%
5130	Immediate Denture - Maxillary	$1,897.00	$701	63%
5140	Immediate Denture - Mandibular	$1,897.91	$701	63%
5211	Maxillary Partial Denture - Resin Base (Including Any Conventional Clasps, Rests And Teeth)	$1,407.91	$613	56%
5212	Mandibular Partial Denture - Resin Base (Including Any Conventional Clasps, Rests And Teeth)	$1,410.82	$613	57%
5213	Maxillary Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps, Rests And Teeth)	$1,846.45	$762	59%
5214	Mandibular Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps, Rests And Teeth)	$1,848.45	$762	59%
5410	Adjust Complete Denture - Maxillary	$92.82	$35	62%
5411	Adjust Complete Denture - Mandibular	$92.82	$35	62%
5510	Repair Broken Complete Denture Base	$219.45	$60	73%
5520	Replace Missing Or Broken Teeth - Complete Denture (Each Tooth)	$195.00	$56	71%
5630	Repair Or Replace Broken Clasp	$272.73	$69	75%
5650	Add Tooth To Existing Partial Denture	$231.09	$60	74%
5660	Add Clasp To Existing Partial Denture	$281.64	$77	73%
5730	Reline Complete Maxillary Denture (Chairside)	$387.64	$142	63%
5731	Reline Complete Mandibular Denture (Chairside)	$384.73	$142	63%
5740	Reline Maxillary Partial Denture (Chairside)	$379.82	$136	64%
5741	Reline Mandibular Partial Denture (Chairside)	$384.73	$136	65%
5750	Reline Complete Maxillary Denture (Laboratory)	$495.64	$186	62%
5751	Reline Complete Mandibular Denture (laboratory)	$495.64	$186	62%
6040	Surgical Placement: Eposteal Implant	$8,444.45	20%	$ 1,688.89
6050	Surgical Placement: Transosteal Implant	$5,838.91	20%	$ 1,167.78
6065	Implant Supported Porcelain/Ceramic Crown	$1,616.91	20%	$323.38
6066	Implant Supported Porcelain Fused To Metal Crown (Titanium, Titanium Alloy, High Noble Metal)	$1,620.00	20%	$324.00
6067	Implant Supported Metal Crown (Titanium, Titanium Alloy, High Noble Metal)	$1,641.27	20%	$328.25
6240	Pontic - Porcelain Fused To High Noble Metal	$1,157.91	$461	60%
6241	Pontic - Porcelain Fused To Predominantly Base Metal	$1,070.27	$428	60%
6242	Pontic - Porcelain Fused To Noble Metal	$1,098.55	$447	59%
6750	Crown - Porcelain Fused To High Noble Metal	$1,162.73	$512	56%
6751	Crown - Porcelain Fused To Predominantly Base Metal	$1,052.82	$461	56%
6752	Crown - Porcelain Fused To Noble Metal	$1,087.82	$478	56%
7140	Extraction, Erupted Tooth Or Exposed Root (elevation And/or Forceps Removal)	$180.45	$56	69%
7210	Surgical Removal Of Erupted Tooth Requiring Removal Of Bone And/or Sectioning Of Tooth, And Including Elevation Of Mucoperiosteal Flap If Indicated	$286.45	$140	51%
7220	Removal Of Impacted Tooth - Soft Tissue	$324.36	$117	64%
7230	Removal Of Impacted Tooth - Partially Bony	$410.82	$153	63%
7240	Removal Of Impacted Tooth - Completely Bony	$501.36	$214	57%
7250	Surgical Removal Of Residual Tooth Roots (Cutting Procedure)	$324.36	$118	64%
7310	Alveoloplasty In Conjunction With Extractions - Four Or More Teeth Or Tooth Spaces, Per Quadrant	$316.55	$98	69%
7320	Alveoloplasty Not In Conjunction With Extractions -four Or More Teeth Or Tooth Spaces, Per Quadrant	$462.45	$141	70%
7510	Incision And Drainage Of Abscess - Intraoral Soft Tissue	$243.82	$72	70%
8070	Comprehensive Orthodontic Treatment Of The Transitional Dentition	$5,328.27	20%	$ 1,065.65
8080	Comprehensive Orthodontic Treatment Of The Adolescent Dentition	$5,382.64	20%	$ 1,076.53
8090	Comprehensive Orthodontic Treatment Of The Adult Dentition	$5,408.91	20%	$ 1,081.78
9110	Palliative (Emergency) Treatment Of Dental Pain - Minor Procedure	$134.73	$37	73%
9215	Local Anesthesia In Conjunction With Operative Or Surgical Procedures	$68.64	$14	80%
9230	Inhalation Of Nitrous Oxide / Anxiolysis, Analgesia	$83.27	$25	70%
9951	Occlusal Adjustment - Limited	$195.00	$53	73%
9952	Occlusal Adjustment - Complete	$726.91	$211	71%

Series 503
ADA Code	Procedure	Typical Fee	You Pay	Savings
0120	Periodic Oral Evaluation - Established Patient	$53	$16	70%
0140	Limited Oral Evaluation - Problem Focused	$79	$18	77%
0150	Comprehensive Oral Evaluation - New Or Established Patient	$92	$20	78%
0210	Intraoral - Complete Series (Including Bitewings)	$134	$48	64%
0220	Intraoral - Periapical First Film	$29	$11	63%
0230	Intraoral - Periapical Each Additional Film	$25	$7	72%
0270	Bitewing - Single Film	$29	$11	63%
0272	Bitewing - Two Films	$47	$15	68%
0273	Bitewing - Three Films	$58	$20	66%
0274	Bitewing - Four Films	$68	$24	65%
0330	Panoramic Film	$113	$48	58%
1110	prophylaxis - adult	$94	$35	63%
1120	Prophylaxis - Adult	$69	$29	58%
1351	Sealant - Per Tooth	$57	$24	58%
1510	Space Maintainer - Fixed - Unilateral	$326	$104	68%
1515	Space Maintainer - Fixed - Bilateral	$439	$153	65%
1520	Space Maintainer - Removable - Unilateral	$399	$136	66%
1525	Space Maintainer - Removable - Bilateral	$501	$174	65%
2140	Amalgam - One Surface, Primary Or Permanent	$145	$48	67%
2150	Amalgam - Two Surfaces, Primary Or Permanent	$184	$61	67%
2160	Amalgam - Three Surfaces, Primary Or Permanent	$228	$72	68%
2161	Amalgam - Four Or More Surfaces, Primary Or Permanent	$266	$88	67%
2330	Resin-Based Composite - One Surface, Anterior	$168	$61	64%
2331	Resin-Based Composite - Two Surfaces, Anterior	$208	$73	65%
2332	Resin-Based Composite - Three Surfaces, Anterior	$259	$93	64%
2335	Resin-Based Composite - Four Or More Surfaces Or Involving Incisal Angle (Anterior)	$322	$117	64%
2391	Resin-Based Composite - One Surface, Posterior	$186	$77	59%
2392	Resin-Based Composite - Two Surfaces, Posterior	$241	$110	54%
2393	Resin-Based Composite - Three Surfaces, Posterior	$299	$139	53%
2394	Resin-Based Composite - Four Or More Surfaces, Posterior	$355	$160	55%
2710	Crown - Resin-Based Composite (Indirect)	$993	$228	77%
2720	Crown - Resin With High Noble Metal	$1,091	$483	56%
2750	Crown - Porcelain Fused To High Noble Metal	$1,149	$572	50%
2751	Crown - Porcelain Fused To Predominantly Base Metal	$1,058	$520	51%
2752	Crown - Porcelain Fused To Noble Metal	$1,083	$558	48%
2790	Crown - Full Cast High Noble Metal	$1,155	$560	51%
2791	Crown - Full Cast Predominantly Base Metal	$1,021	$520	49%
2930	Prefabricated Stainless Steel Crown - Primary Tooth	$275	$112	59%
2931	Prefabricated Stainless Steel Crown - Permanent Tooth	$334	$127	62%
2950	Core Buildup, Including Any Pins	$275	$112	59%
2951	Pin Retention - Per Tooth, In Addition To Restoration	$77	$27	65%
2952	Post And Core In Addition To Crown, Indirectly Fabricated	$430	$176	59%
2954	Prefabricated Post And Core In Addition To Crown	$343	$137	60%
3110	Pulp Cap - Direct (Excluding Final Restoration)	$85	$25	71%
3120	Pulp Cap - Indirect (Excluding Final Restoration)	$87	$25	71%
3220	Therapeutic Pulpotomy (Excluding Final Restoration) - Removal of Pulp Coronal to the Dentinocemental Junction and Application of Medicament	$204	$61	70%
3310	Endodontic Therapy, Anterior Tooth (Excluding Final Restoration)	$745	$326	56%
3320	Endodontic Therapy, Bicuspid Tooth (Excluding Final Restoration)	$859	$388	55%
3330	Endodontic Therapy, Molar (Excluding Final Restoration)	$1,041	$487	53%
4210	Gingivectomy Or Gingivoplasty - Four Or More Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant	$650	$325	50%
4341	Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant	$265	$116	56%
4910	Periodontal Maintenance	$143	$69	52%
5110	Complete Denture - Maxillary	$1,756	$702	60%
5120	Complete Denture - Mandibular	$1,756	$702	60%
5130	Immediate Denture - Maxillary	$1,876	$729	61%
5140	Immediate Denture - Mandibular	$1,877	$729	61%
5211	Maxillary Partial Denture - Resin Base (Including Any Conventional Clasps, Rests And Teeth)	$1,392	$685	51%
5212	Mandibular Partial Denture - Resin Base (Including Any Conventional Clasps, Rests And Teeth)	$1,395	$685	51%
5213	Maxillary Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps, Rests And Teeth)	$1,826	$796	56%
5214	Mandibular Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps, Rests And Teeth)	$1,828	$796	56%
5410	Adjust Complete Denture - Maxillary	$92	$40	57%
5411	Adjust Complete Denture - Mandibular	$92	$40	57%
5510	Repair Broken Complete Denture Base	$217	$64	70%
5520	Replace Missing Or Broken Teeth - Complete Denture (Each Tooth)	$193	$61	68%
5630	Repair Or Replace Broken Clasp	$270	$73	73%
5650	Add Tooth To Existing Partial Denture	$228	$64	72%
5660	Add Clasp To Existing Partial Denture	$278	$81	71%
5730	Reline Complete Maxillary Denture (Chairside)	$383	$152	60%
5731	Reline Complete Mandibular Denture (Chairside)	$381	$152	60%
5740	Reline Maxillary Partial Denture (Chairside)	$376	$143	62%
5741	Reline Mandibular Partial Denture (Chairside)	$381	$143	62%
5750	Reline Complete Maxillary Denture (Laboratory)	$490	$197	60%
5751	Reline Complete Mandibular Denture (laboratory)	$490	$197	60%
6040	Surgical Placement: Eposteal Implant	$8,351	20%	$1,670.10
6050	Surgical Placement: Transosteal Implant	$5,774	20%	$1,154.80
6065	Implant Supported Porcelain/Ceramic Crown	$1,599	20%	$319.82
6066	Implant Supported Porcelain Fused To Metal Crown (Titanium, Titanium Alloy, High Noble Metal)	$1,602	20%	$320.38
6067	Implant Supported Metal Crown (Titanium, Titanium Alloy, High Noble Metal)	$1,623	20%	$324.62
6240	Pontic - Porcelain Fused To High Noble Metal	$1,145	$491	57%
6241	Pontic - Porcelain Fused To Predominantly Base Metal	$1,058	$454	57%
6242	Pontic - Porcelain Fused To Noble Metal	$1,086	$474	56%
6750	Crown - Porcelain Fused To High Noble Metal	$1,150	$537	53%
6751	Crown - Porcelain Fused To Predominantly Base Metal	$1,041	$489	53%
6752	Crown - Porcelain Fused To Noble Metal	$1,076	$509	53%
7140	Extraction, Erupted Tooth Or Exposed Root (elevation And/or Forceps Removal)	$178	$61	66%
7210	Surgical Removal Of Erupted Tooth Requiring Removal Of Bone And/or Sectioning Of Tooth, And Including Elevation Of Mucoperiosteal Flap If Indicated	$283	$148	48%
7220	Removal Of Impacted Tooth - Soft Tissue	$321	$125	61%
7230	Removal Of Impacted Tooth - Partially Bony	$407	$162	60%
7240	Removal Of Impacted Tooth - Completely Bony	$496	$228	54%
7250	Surgical Removal Of Residual Tooth Roots (Cutting Procedure)	$321	$118	63%
7310	Alveoloplasty In Conjunction With Extractions - Four Or More Teeth Or Tooth Spaces, Per Quadrant	$313	$104	67%
7320	Alveoloplasty Not In Conjunction With Extractions -four Or More Teeth Or Tooth Spaces, Per Quadrant	$457	$151	67%
7510	Incision And Drainage Of Abscess - Intraoral Soft Tissue	$241	$77	68%
8070	Comprehensive Orthodontic Treatment Of The Transitional Dentition	$5,269	20%	$1,053.82
8080	Comprehensive Orthodontic Treatment Of The Adolescent Dentition	$5,323	20%	$1,064.58
8090	Comprehensive Orthodontic Treatment Of The Adult Dentition	$5,349	20%	$1,069.76
9110	Palliative (Emergency) Treatment Of Dental Pain - Minor Procedure	$133	$40	70%
9215	Local Anesthesia In Conjunction With Operative Or Surgical Procedures	$68	$15	78%
9230	Inhalation Of Nitrous Oxide / Anxiolysis, Analgesia	$82	$27	67%
9951	Occlusal Adjustment - Limited	$193	$55	71%
9952	Occlusal Adjustment - Complete	$719	$224	69%

Series 504
ADA Code	Procedure	Typical Fee	You Pay	Savings
0120	Periodic Oral Evaluation - Established Patient	$55	$17	69%
0140	Limited Oral Evaluation - Problem Focused	$82	$21	74%
0150	Comprehensive Oral Evaluation - New Or Established Patient	$96	$21	78%
0210	Intraoral - Complete Series (Including Bitewings)	$140	$53	62%
0220	Intraoral - Periapical First Film	$31	$12	61%
0230	Intraoral - Periapical Each Additional Film	$27	$7	74%
0270	Bitewing - Single Film	$31	$12	61%
0272	Bitewing - Two Films	$49	$16	67%
0273	Bitewing - Three Films	$61	$21	65%
0274	Bitewing - Four Films	$71	$27	62%
0330	Panoramic Film	$118	$53	55%
1110	prophylaxis - adult	$98	$38	61%
1120	Prophylaxis - Adult	$72	$33	54%
1351	Sealant - Per Tooth	$60	$25	58%
1510	Space Maintainer - Fixed - Unilateral	$339	$114	66%
1515	Space Maintainer - Fixed - Bilateral	$458	$170	63%
1520	Space Maintainer - Removable - Unilateral	$416	$151	64%
1525	Space Maintainer - Removable - Bilateral	$522	$192	63%
2140	Amalgam - One Surface, Primary Or Permanent	$151	$53	65%
2150	Amalgam - Two Surfaces, Primary Or Permanent	$192	$68	65%
2160	Amalgam - Three Surfaces, Primary Or Permanent	$237	$80	66%
2161	Amalgam - Four Or More Surfaces, Primary Or Permanent	$278	$98	65%
2330	Resin-Based Composite - One Surface, Anterior	$175	$68	61%
2331	Resin-Based Composite - Two Surfaces, Anterior	$216	$81	63%
2332	Resin-Based Composite - Three Surfaces, Anterior	$270	$103	62%
2335	Resin-Based Composite - Four Or More Surfaces Or Involving Incisal Angle (Anterior)	$336	$129	62%
2391	Resin-Based Composite - One Surface, Posterior	$194	$86	56%
2392	Resin-Based Composite - Two Surfaces, Posterior	$251	$124	51%
2393	Resin-Based Composite - Three Surfaces, Posterior	$312	$159	49%
2394	Resin-Based Composite - Four Or More Surfaces, Posterior	$371	$183	51%
2710	Crown - Resin-Based Composite (Indirect)	$1,036	$240	77%
2720	Crown - Resin With High Noble Metal	$1,138	$508	55%
2750	Crown - Porcelain Fused To High Noble Metal	$1,198	$595	50%
2751	Crown - Porcelain Fused To Predominantly Base Metal	$1,104	$542	51%
2752	Crown - Porcelain Fused To Noble Metal	$1,129	$578	49%
2790	Crown - Full Cast High Noble Metal	$1,204	$583	52%
2791	Crown - Full Cast Predominantly Base Metal	$1,065	$549	48%
2930	Prefabricated Stainless Steel Crown - Primary Tooth	$286	$124	57%
2931	Prefabricated Stainless Steel Crown - Permanent Tooth	$349	$141	60%
2950	Core Buildup, Including Any Pins	$286	$124	57%
2951	Pin Retention - Per Tooth, In Addition To Restoration	$80	$28	65%
2952	Post And Core In Addition To Crown, Indirectly Fabricated	$448	$194	57%
2954	Prefabricated Post And Core In Addition To Crown	$358	$152	58%
3110	Pulp Cap - Direct (Excluding Final Restoration)	$89	$28	68%
3120	Pulp Cap - Indirect (Excluding Final Restoration)	$91	$28	69%
3220	Therapeutic Pulpotomy (Excluding Final Restoration) - Removal of Pulp Coronal to the Dentinocemental Junction and Application of Medicament	$212	$68	68%
3310	Endodontic Therapy, Anterior Tooth (Excluding Final Restoration)	$777	$339	56%
3320	Endodontic Therapy, Bicuspid Tooth (Excluding Final Restoration)	$896	$407	55%
3330	Endodontic Therapy, Molar (Excluding Final Restoration)	$1,086	$516	52%
4210	Gingivectomy Or Gingivoplasty - Four Or More Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant	$678	$358	47%
4341	Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant	$276	$118	57%
4910	Periodontal Maintenance	$149	$75	50%
5110	Complete Denture - Maxillary	$1,831	$751	59%
5120	Complete Denture - Mandibular	$1,831	$751	59%
5130	Immediate Denture - Maxillary	$1,957	$808	59%
5140	Immediate Denture - Mandibular	$1,958	$808	59%
5211	Maxillary Partial Denture - Resin Base (Including Any Conventional Clasps, Rests And Teeth)	$1,452	$735	49%
5212	Mandibular Partial Denture - Resin Base (Including Any Conventional Clasps, Rests And Teeth)	$1,455	$735	50%
5213	Maxillary Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps, Rests And Teeth)	$1,905	$856	55%
5214	Mandibular Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps, Rests And Teeth)	$1,907	$856	55%
5410	Adjust Complete Denture - Maxillary	$96	$41	57%
5411	Adjust Complete Denture - Mandibular	$96	$41	57%
5510	Repair Broken Complete Denture Base	$226	$70	69%
5520	Replace Missing Or Broken Teeth - Complete Denture (Each Tooth)	$201	$68	66%
5630	Repair Or Replace Broken Clasp	$281	$81	71%
5650	Add Tooth To Existing Partial Denture	$238	$70	71%
5660	Add Clasp To Existing Partial Denture	$290	$90	69%
5730	Reline Complete Maxillary Denture (Chairside)	$400	$167	58%
5731	Reline Complete Mandibular Denture (Chairside)	$397	$167	58%
5740	Reline Maxillary Partial Denture (Chairside)	$392	$159	59%
5741	Reline Mandibular Partial Denture (Chairside)	$397	$159	60%
5750	Reline Complete Maxillary Denture (Laboratory)	$511	$219	57%
5751	Reline Complete Mandibular Denture (laboratory)	$511	$219	57%
6040	Surgical Placement: Eposteal Implant	$8,711	20%	$1,742
6050	Surgical Placement: Transosteal Implant	$6,023	20%	$1,205
6065	Implant Supported Porcelain/Ceramic Crown	$1,668	20%	$334
6066	Implant Supported Porcelain Fused To Metal Crown (Titanium, Titanium Alloy, High Noble Metal)	$1,671	20%	$334
6067	Implant Supported Metal Crown (Titanium, Titanium Alloy, High Noble Metal)	$1,693	20%	$339
6240	Pontic - Porcelain Fused To High Noble Metal	$1,194	$538	55%
6241	Pontic - Porcelain Fused To Predominantly Base Metal	$1,104	$496	55%
6242	Pontic - Porcelain Fused To Noble Metal	$1,133	$516	54%
6750	Crown - Porcelain Fused To High Noble Metal	$1,199	$561	53%
6751	Crown - Porcelain Fused To Predominantly Base Metal	$1,086	$520	52%
6752	Crown - Porcelain Fused To Noble Metal	$1,122	$541	52%
7140	Extraction, Erupted Tooth Or Exposed Root (elevation And/or Forceps Removal)	$186	$68	63%
7210	Surgical Removal Of Erupted Tooth Requiring Removal Of Bone And/or Sectioning Of Tooth, And Including Elevation Of Mucoperiosteal Flap If Indicated	$296	$157	47%
7220	Removal Of Impacted Tooth - Soft Tissue	$335	$139	58%
7230	Removal Of Impacted Tooth - Partially Bony	$424	$180	58%
7240	Removal Of Impacted Tooth - Completely Bony	$517	$234	55%
7250	Surgical Removal Of Residual Tooth Roots (Cutting Procedure)	$335	$125	63%
7310	Alveoloplasty In Conjunction With Extractions - Four Or More Teeth Or Tooth Spaces, Per Quadrant	$326	$114	65%
7320	Alveoloplasty Not In Conjunction With Extractions -four Or More Teeth Or Tooth Spaces, Per Quadrant	$477	$166	65%
7510	Incision And Drainage Of Abscess - Intraoral Soft Tissue	$251	$86	66%
8070	Comprehensive Orthodontic Treatment Of The Transitional Dentition	$5,496	20%	$1,099
8080	Comprehensive Orthodontic Treatment Of The Adolescent Dentition	$5,553	20%	$1,111
8090	Comprehensive Orthodontic Treatment Of The Adult Dentition	$5,580	20%	$1,116
9110	Palliative (Emergency) Treatment Of Dental Pain - Minor Procedure	$139	$43	69%
9215	Local Anesthesia In Conjunction With Operative Or Surgical Procedures	$71	$16	77%
9230	Inhalation Of Nitrous Oxide / Anxiolysis, Analgesia	$86	$29	66%
9951	Occlusal Adjustment - Limited	$201	$63	69%
9952	Occlusal Adjustment - Complete	$750	$249	67%

Series 505
ADA Code	Procedure	Typical Fee	You Pay	Savings
0120	Periodic Oral Evaluation - Established Patient	$56	$21	62%
0140	Limited Oral Evaluation - Problem Focused	$83	$25	70%
0150	Comprehensive Oral Evaluation - New Or Established Patient	$98	$31	68%
0210	Intraoral - Complete Series (Including Bitewings)	$143	$64	55%
0220	Intraoral - Periapical First Film	$31	$15	52%
0230	Intraoral - Periapical Each Additional Film	$27	$9	67%
0270	Bitewing - Single Film	$31	$15	52%
0272	Bitewing - Two Films	$50	$18	64%
0273	Bitewing - Three Films	$62	$23	63%
0274	Bitewing - Four Films	$72	$28	61%
0330	Panoramic Film	$120	$64	47%
1110	prophylaxis - adult	$100	$47	53%
1120	Prophylaxis - Adult	$73	$38	48%
1351	Sealant - Per Tooth	$61	$33	46%
1510	Space Maintainer - Fixed - Unilateral	$346	$139	60%
1515	Space Maintainer - Fixed - Bilateral	$467	$205	56%
1520	Space Maintainer - Removable - Unilateral	$424	$180	58%
1525	Space Maintainer - Removable - Bilateral	$533	$230	57%
2140	Amalgam - One Surface, Primary Or Permanent	$154	$64	58%
2150	Amalgam - Two Surfaces, Primary Or Permanent	$196	$81	59%
2160	Amalgam - Three Surfaces, Primary Or Permanent	$242	$95	61%
2161	Amalgam - Four Or More Surfaces, Primary Or Permanent	$283	$117	59%
2330	Resin-Based Composite - One Surface, Anterior	$179	$81	55%
2331	Resin-Based Composite - Two Surfaces, Anterior	$220	$99	55%
2332	Resin-Based Composite - Three Surfaces, Anterior	$276	$124	55%
2335	Resin-Based Composite - Four Or More Surfaces Or Involving Incisal Angle (Anterior)	$342	$156	54%
2391	Resin-Based Composite - One Surface, Posterior	$198	$104	47%
2392	Resin-Based Composite - Two Surfaces, Posterior	$256	$152	41%
2393	Resin-Based Composite - Three Surfaces, Posterior	$318	$192	40%
2394	Resin-Based Composite - Four Or More Surfaces, Posterior	$378	$219	42%
2710	Crown - Resin-Based Composite (Indirect)	$1,056	$284	73%
2720	Crown - Resin With High Noble Metal	$1,161	$603	48%
2750	Crown - Porcelain Fused To High Noble Metal	$1,222	$710	42%
2751	Crown - Porcelain Fused To Predominantly Base Metal	$1,126	$693	38%
2752	Crown - Porcelain Fused To Noble Metal	$1,152	$703	39%
2790	Crown - Full Cast High Noble Metal	$1,228	$726	41%
2791	Crown - Full Cast Predominantly Base Metal	$1,086	$688	37%
2930	Prefabricated Stainless Steel Crown - Primary Tooth	$292	$142	51%
2931	Prefabricated Stainless Steel Crown - Permanent Tooth	$356	$159	55%
2950	Core Buildup, Including Any Pins	$292	$139	52%
2951	Pin Retention - Per Tooth, In Addition To Restoration	$81	$35	57%
2952	Post And Core In Addition To Crown, Indirectly Fabricated	$457	$230	50%
2954	Prefabricated Post And Core In Addition To Crown	$365	$174	52%
3110	Pulp Cap - Direct (Excluding Final Restoration)	$91	$35	61%
3120	Pulp Cap - Indirect (Excluding Final Restoration)	$93	$33	64%
3220	Therapeutic Pulpotomy (Excluding Final Restoration) - Removal of Pulp Coronal to the Dentinocemental Junction and Application of Medicament	$216	$81	63%
3310	Endodontic Therapy, Anterior Tooth (Excluding Final Restoration)	$792	$436	45%
3320	Endodontic Therapy, Bicuspid Tooth (Excluding Final Restoration)	$914	$516	44%
3330	Endodontic Therapy, Molar (Excluding Final Restoration)	$1,108	$648	41%
4210	Gingivectomy Or Gingivoplasty - Four Or More Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant	$691	$449	35%
4341	Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant	$282	$146	48%
4910	Periodontal Maintenance	$152	$91	40%
5110	Complete Denture - Maxillary	$1,868	$941	50%
5120	Complete Denture - Mandibular	$1,868	$941	50%
5130	Immediate Denture - Maxillary	$1,996	$991	50%
5140	Immediate Denture - Mandibular	$1,997	$991	50%
5211	Maxillary Partial Denture - Resin Base (Including Any Conventional Clasps, Rests And Teeth)	$1,481	$925	38%
5212	Mandibular Partial Denture - Resin Base (Including Any Conventional Clasps, Rests And Teeth)	$1,484	$925	38%
5213	Maxillary Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps, Rests And Teeth)	$1,943	$1,057	46%
5214	Mandibular Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps, Rests And Teeth)	$1,945	$1,057	46%
5410	Adjust Complete Denture - Maxillary	$98	$50	49%
5411	Adjust Complete Denture - Mandibular	$98	$50	49%
5510	Repair Broken Complete Denture Base	$231	$86	63%
5520	Replace Missing Or Broken Teeth - Complete Denture (Each Tooth)	$205	$81	60%
5630	Repair Or Replace Broken Clasp	$287	$99	66%
5650	Add Tooth To Existing Partial Denture	$243	$86	65%
5660	Add Clasp To Existing Partial Denture	$296	$108	64%
5730	Reline Complete Maxillary Denture (Chairside)	$408	$196	52%
5731	Reline Complete Mandibular Denture (Chairside)	$405	$196	52%
5740	Reline Maxillary Partial Denture (Chairside)	$400	$184	54%
5741	Reline Mandibular Partial Denture (Chairside)	$405	$184	55%
5750	Reline Complete Maxillary Denture (Laboratory)	$521	$254	51%
5751	Reline Complete Mandibular Denture (laboratory)	$521	$254	51%
6040	Surgical Placement: Eposteal Implant	$8,883	20%	$1,776.63
6050	Surgical Placement: Transosteal Implant	$6,142	20%	$1,228.48
6065	Implant Supported Porcelain/Ceramic Crown	$1,701	20%	$340.18
6066	Implant Supported Porcelain Fused To Metal Crown (Titanium, Titanium Alloy, High Noble Metal)	$1,704	20%	$340.78
6067	Implant Supported Metal Crown (Titanium, Titanium Alloy, High Noble Metal)	$1,727	20%	$345.30
6240	Pontic - Porcelain Fused To High Noble Metal	$1,218	$651	47%
6241	Pontic - Porcelain Fused To Predominantly Base Metal	$1,126	$601	47%
6242	Pontic - Porcelain Fused To Noble Metal	$1,156	$619	46%
6750	Crown - Porcelain Fused To High Noble Metal	$1,223	$693	43%
6751	Crown - Porcelain Fused To Predominantly Base Metal	$1,108	$653	41%
6752	Crown - Porcelain Fused To Noble Metal	$1,144	$678	41%
7140	Extraction, Erupted Tooth Or Exposed Root (elevation And/or Forceps Removal)	$190	$81	57%
7210	Surgical Removal Of Erupted Tooth Requiring Removal Of Bone And/or Sectioning Of Tooth, And Including Elevation Of Mucoperiosteal Flap If Indicated	$301	$169	44%
7220	Removal Of Impacted Tooth - Soft Tissue	$341	$166	51%
7230	Removal Of Impacted Tooth - Partially Bony	$432	$216	50%
7240	Removal Of Impacted Tooth - Completely Bony	$527	$283	46%
7250	Surgical Removal Of Residual Tooth Roots (Cutting Procedure)	$341	$156	54%
7310	Alveoloplasty In Conjunction With Extractions - Four Or More Teeth Or Tooth Spaces, Per Quadrant	$333	$139	58%
7320	Alveoloplasty Not In Conjunction With Extractions -four Or More Teeth Or Tooth Spaces, Per Quadrant	$487	$200	59%
7510	Incision And Drainage Of Abscess - Intraoral Soft Tissue	$256	$103	60%
8070	Comprehensive Orthodontic Treatment Of The Transitional Dentition	$5,605	20%	$1,121.03
8080	Comprehensive Orthodontic Treatment Of The Adolescent Dentition	$5,663	20%	$1,132.50
8090	Comprehensive Orthodontic Treatment Of The Adult Dentition	$5,690	20%	$1,138.00
9110	Palliative (Emergency) Treatment Of Dental Pain - Minor Procedure	$142	$53	63%
9215	Local Anesthesia In Conjunction With Operative Or Surgical Procedures	$72	$21	71%
9230	Inhalation Of Nitrous Oxide / Anxiolysis, Analgesia	$88	$35	60%
9951	Occlusal Adjustment - Limited	$205	$74	64%
9952	Occlusal Adjustment - Complete	$765	$300	61%

Series 506
ADA Code	Procedure	Typical Fee	You Pay	Savings
0120	Periodic Oral Evaluation - Established Patient	$56	$21	62%
0140	Limited Oral Evaluation - Problem Focused	$83	$25	70%
0150	Comprehensive Oral Evaluation - New Or Established Patient	$98	$31	68%
0210	Intraoral - Complete Series (Including Bitewings)	$143	$64	55%
0220	Intraoral - Periapical First Film	$31	$15	52%
0230	Intraoral - Periapical Each Additional Film	$27	$9	67%
0270	Bitewing - Single Film	$31	$15	52%
0272	Bitewing - Two Films	$50	$18	64%
0273	Bitewing - Three Films	$62	$23	63%
0274	Bitewing - Four Films	$72	$28	61%
0330	Panoramic Film	$120	$64	47%
1110	prophylaxis - adult	$100	$47	53%
1120	Prophylaxis - Adult	$73	$38	48%
1351	Sealant - Per Tooth	$61	$33	46%
1510	Space Maintainer - Fixed - Unilateral	$346	$139	60%
1515	Space Maintainer - Fixed - Bilateral	$467	$205	56%
1520	Space Maintainer - Removable - Unilateral	$424	$180	58%
1525	Space Maintainer - Removable - Bilateral	$533	$230	57%
2140	Amalgam - One Surface, Primary Or Permanent	$154	$64	58%
2150	Amalgam - Two Surfaces, Primary Or Permanent	$196	$81	59%
2160	Amalgam - Three Surfaces, Primary Or Permanent	$242	$95	61%
2161	Amalgam - Four Or More Surfaces, Primary Or Permanent	$283	$117	59%
2330	Resin-Based Composite - One Surface, Anterior	$179	$81	55%
2331	Resin-Based Composite - Two Surfaces, Anterior	$220	$99	55%
2332	Resin-Based Composite - Three Surfaces, Anterior	$276	$124	55%
2335	Resin-Based Composite - Four Or More Surfaces Or Involving Incisal Angle (Anterior)	$342	$156	54%
2391	Resin-Based Composite - One Surface, Posterior	$198	$104	47%
2392	Resin-Based Composite - Two Surfaces, Posterior	$256	$152	41%
2393	Resin-Based Composite - Three Surfaces, Posterior	$318	$192	40%
2394	Resin-Based Composite - Four Or More Surfaces, Posterior	$378	$219	42%
2710	Crown - Resin-Based Composite (Indirect)	$1,056	$284	73%
2720	Crown - Resin With High Noble Metal	$1,161	$603	48%
2750	Crown - Porcelain Fused To High Noble Metal	$1,222	$710	42%
2751	Crown - Porcelain Fused To Predominantly Base Metal	$1,126	$693	38%
2752	Crown - Porcelain Fused To Noble Metal	$1,152	$703	39%
2790	Crown - Full Cast High Noble Metal	$1,228	$726	41%
2791	Crown - Full Cast Predominantly Base Metal	$1,086	$688	37%
2930	Prefabricated Stainless Steel Crown - Primary Tooth	$292	$142	51%
2931	Prefabricated Stainless Steel Crown - Permanent Tooth	$356	$159	55%
2950	Core Buildup, Including Any Pins	$292	$139	52%
2951	Pin Retention - Per Tooth, In Addition To Restoration	$81	$35	57%
2952	Post And Core In Addition To Crown, Indirectly Fabricated	$457	$230	50%
2954	Prefabricated Post And Core In Addition To Crown	$365	$174	52%
3110	Pulp Cap - Direct (Excluding Final Restoration)	$91	$35	61%
3120	Pulp Cap - Indirect (Excluding Final Restoration)	$93	$33	64%
3220	Therapeutic Pulpotomy (Excluding Final Restoration) - Removal of Pulp Coronal to the Dentinocemental Junction and Application of Medicament	$216	$81	63%
3310	Endodontic Therapy, Anterior Tooth (Excluding Final Restoration)	$792	$436	45%
3320	Endodontic Therapy, Bicuspid Tooth (Excluding Final Restoration)	$914	$516	44%
3330	Endodontic Therapy, Molar (Excluding Final Restoration)	$1,108	$648	41%
4210	Gingivectomy Or Gingivoplasty - Four Or More Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant	$691	$449	35%
4341	Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant	$282	$146	48%
4910	Periodontal Maintenance	$152	$91	40%
5110	Complete Denture - Maxillary	$1,868	$941	50%
5120	Complete Denture - Mandibular	$1,868	$941	50%
5130	Immediate Denture - Maxillary	$1,996	$991	50%
5140	Immediate Denture - Mandibular	$1,997	$991	50%
5211	Maxillary Partial Denture - Resin Base (Including Any Conventional Clasps, Rests And Teeth)	$1,481	$925	38%
5212	Mandibular Partial Denture - Resin Base (Including Any Conventional Clasps, Rests And Teeth)	$1,484	$925	38%
5213	Maxillary Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps, Rests And Teeth)	$1,943	$1,057	46%
5214	Mandibular Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps, Rests And Teeth)	$1,945	$1,057	46%
5410	Adjust Complete Denture - Maxillary	$98	$50	49%
5411	Adjust Complete Denture - Mandibular	$98	$50	49%
5510	Repair Broken Complete Denture Base	$231	$86	63%
5520	Replace Missing Or Broken Teeth - Complete Denture (Each Tooth)	$205	$81	60%
5630	Repair Or Replace Broken Clasp	$287	$99	66%
5650	Add Tooth To Existing Partial Denture	$243	$86	65%
5660	Add Clasp To Existing Partial Denture	$296	$108	64%
5730	Reline Complete Maxillary Denture (Chairside)	$408	$196	52%
5731	Reline Complete Mandibular Denture (Chairside)	$405	$196	52%
5740	Reline Maxillary Partial Denture (Chairside)	$400	$184	54%
5741	Reline Mandibular Partial Denture (Chairside)	$405	$184	55%
5750	Reline Complete Maxillary Denture (Laboratory)	$521	$254	51%
5751	Reline Complete Mandibular Denture (laboratory)	$521	$254	51%
6040	Surgical Placement: Eposteal Implant	$8,883	20%	$1,776.63
6050	Surgical Placement: Transosteal Implant	$6,142	20%	$1,228.48
6065	Implant Supported Porcelain/Ceramic Crown	$1,701	20%	$340.18
6066	Implant Supported Porcelain Fused To Metal Crown (Titanium, Titanium Alloy, High Noble Metal)	$1,704	20%	$340.78
6067	Implant Supported Metal Crown (Titanium, Titanium Alloy, High Noble Metal)	$1,727	20%	$345.30
6240	Pontic - Porcelain Fused To High Noble Metal	$1,218	$651	47%
6241	Pontic - Porcelain Fused To Predominantly Base Metal	$1,126	$601	47%
6242	Pontic - Porcelain Fused To Noble Metal	$1,156	$619	46%
6750	Crown - Porcelain Fused To High Noble Metal	$1,223	$693	43%
6751	Crown - Porcelain Fused To Predominantly Base Metal	$1,108	$653	41%
6752	Crown - Porcelain Fused To Noble Metal	$1,144	$678	41%
7140	Extraction, Erupted Tooth Or Exposed Root (elevation And/or Forceps Removal)	$190	$81	57%
7210	Surgical Removal Of Erupted Tooth Requiring Removal Of Bone And/or Sectioning Of Tooth, And Including Elevation Of Mucoperiosteal Flap If Indicated	$301	$169	44%
7220	Removal Of Impacted Tooth - Soft Tissue	$341	$166	51%
7230	Removal Of Impacted Tooth - Partially Bony	$432	$216	50%
7240	Removal Of Impacted Tooth - Completely Bony	$527	$283	46%
7250	Surgical Removal Of Residual Tooth Roots (Cutting Procedure)	$341	$156	54%
7310	Alveoloplasty In Conjunction With Extractions - Four Or More Teeth Or Tooth Spaces, Per Quadrant	$333	$139	58%
7320	Alveoloplasty Not In Conjunction With Extractions -four Or More Teeth Or Tooth Spaces, Per Quadrant	$487	$200	59%
7510	Incision And Drainage Of Abscess - Intraoral Soft Tissue	$256	$103	60%
8070	Comprehensive Orthodontic Treatment Of The Transitional Dentition	$5,605	20%	$1,121.03
8080	Comprehensive Orthodontic Treatment Of The Adolescent Dentition	$5,663	20%	$1,132.50
8090	Comprehensive Orthodontic Treatment Of The Adult Dentition	$5,690	20%	$1,138.00
9110	Palliative (Emergency) Treatment Of Dental Pain - Minor Procedure	$142	$53	63%
9215	Local Anesthesia In Conjunction With Operative Or Surgical Procedures	$72	$21	71%
9230	Inhalation Of Nitrous Oxide / Anxiolysis, Analgesia	$88	$35	60%
9951	Occlusal Adjustment - Limited	$205	$74	64%
9952	Occlusal Adjustment - Complete	$765	$300	61%

Series 507
ADA Code	Procedure	Typical Fee	You Pay	Savings
0120	Periodic Oral Evaluation - Established Patient	$59	$22	63%
0140	Limited Oral Evaluation - Problem Focused	$88	$33	63%
0150	Comprehensive Oral Evaluation - New Or Established Patient	$104	$37	64%
0210	Intraoral - Complete Series (Including Bitewings)	$151	$64	58%
0220	Intraoral - Periapical First Film	$33	$13	60%
0230	Intraoral - Periapical Each Additional Film	$29	$11	62%
0270	Bitewing - Single Film	$33	$12	64%
0272	Bitewing - Two Films	$53	$17	68%
0273	Bitewing - Three Films	$66	$21	68%
0274	Bitewing - Four Films	$77	$25	67%
0330	Panoramic Film	$127	$54	58%
1110	prophylaxis - adult	$106	$42	60%
1120	Prophylaxis - Adult	$78	$33	57%
1351	Sealant - Per Tooth	$64	$25	61%
1510	Space Maintainer - Fixed - Unilateral	$367	$159	57%
1515	Space Maintainer - Fixed - Bilateral	$495	$227	54%
1520	Space Maintainer - Removable - Unilateral	$450	$190	58%
1525	Space Maintainer - Removable - Bilateral	$565	$236	58%
2140	Amalgam - One Surface, Primary Or Permanent	$163	$53	68%
2150	Amalgam - Two Surfaces, Primary Or Permanent	$208	$70	66%
2160	Amalgam - Three Surfaces, Primary Or Permanent	$257	$85	67%
2161	Amalgam - Four Or More Surfaces, Primary Or Permanent	$300	$104	65%
2330	Resin-Based Composite - One Surface, Anterior	$189	$66	65%
2331	Resin-Based Composite - Two Surfaces, Anterior	$234	$83	64%
2332	Resin-Based Composite - Three Surfaces, Anterior	$293	$107	63%
2335	Resin-Based Composite - Four Or More Surfaces Or Involving Incisal Angle (Anterior)	$363	$133	63%
2391	Resin-Based Composite - One Surface, Posterior	$210	$74	65%
2392	Resin-Based Composite - Two Surfaces, Posterior	$272	$104	62%
2393	Resin-Based Composite - Three Surfaces, Posterior	$337	$133	61%
2394	Resin-Based Composite - Four Or More Surfaces, Posterior	$401	$157	61%
2710	Crown - Resin-Based Composite (Indirect)	$1,120	$227	80%
2720	Crown - Resin With High Noble Metal	$1,231	$482	61%
2750	Crown - Porcelain Fused To High Noble Metal	$1,296	$567	56%
2751	Crown - Porcelain Fused To Predominantly Base Metal	$1,194	$509	57%
2752	Crown - Porcelain Fused To Noble Metal	$1,221	$531	57%
2790	Crown - Full Cast High Noble Metal	$1,303	$549	58%
2791	Crown - Full Cast Predominantly Base Metal	$1,152	$479	58%
2930	Prefabricated Stainless Steel Crown - Primary Tooth	$310	$128	59%
2931	Prefabricated Stainless Steel Crown - Permanent Tooth	$377	$148	61%
2950	Core Buildup, Including Any Pins	$310	$129	58%
2951	Pin Retention - Per Tooth, In Addition To Restoration	$86	$28	68%
2952	Post And Core In Addition To Crown, Indirectly Fabricated	$484	$202	58%
2954	Prefabricated Post And Core In Addition To Crown	$387	$159	59%
3110	Pulp Cap - Direct (Excluding Final Restoration)	$96	$34	65%
3120	Pulp Cap - Indirect (Excluding Final Restoration)	$98	$34	65%
3220	Therapeutic Pulpotomy (Excluding Final Restoration) - Removal of Pulp Coronal to the Dentinocemental Junction and Application of Medicament	$230	$81	65%
3310	Endodontic Therapy, Anterior Tooth (Excluding Final Restoration)	$840	$323	62%
3320	Endodontic Therapy, Bicuspid Tooth (Excluding Final Restoration)	$969	$388	60%
3330	Endodontic Therapy, Molar (Excluding Final Restoration)	$1,175	$489	58%
4210	Gingivectomy Or Gingivoplasty - Four Or More Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant	$733	$306	58%
4341	Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant	$299	$113	62%
4910	Periodontal Maintenance	$161	$66	59%
5110	Complete Denture - Maxillary	$1,981	$730	63%
5120	Complete Denture - Mandibular	$1,981	$730	63%
5130	Immediate Denture - Maxillary	$2,116	$769	64%
5140	Immediate Denture - Mandibular	$2,117	$774	63%
5211	Maxillary Partial Denture - Resin Base (Including Any Conventional Clasps, Rests And Teeth)	$1,571	$548	65%
5212	Mandibular Partial Denture - Resin Base (Including Any Conventional Clasps, Rests And Teeth)	$1,574	$548	65%
5213	Maxillary Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps, Rests And Teeth)	$2,060	$785	62%
5214	Mandibular Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps, Rests And Teeth)	$2,062	$789	62%
5410	Adjust Complete Denture - Maxillary	$104	$39	62%
5411	Adjust Complete Denture - Mandibular	$104	$39	62%
5510	Repair Broken Complete Denture Base	$245	$88	64%
5520	Replace Missing Or Broken Teeth - Complete Denture (Each Tooth)	$218	$80	63%
5630	Repair Or Replace Broken Clasp	$304	$113	63%
5650	Add Tooth To Existing Partial Denture	$258	$98	62%
5660	Add Clasp To Existing Partial Denture	$314	$119	62%
5730	Reline Complete Maxillary Denture (Chairside)	$432	$166	62%
5731	Reline Complete Mandibular Denture (Chairside)	$429	$166	61%
5740	Reline Maxillary Partial Denture (Chairside)	$424	$155	63%
5741	Reline Mandibular Partial Denture (Chairside)	$429	$155	64%
5750	Reline Complete Maxillary Denture (Laboratory)	$553	$223	60%
5751	Reline Complete Mandibular Denture (laboratory)	$553	$220	60%
6040	Surgical Placement: Eposteal Implant	$9,421	20%	$1,884.14
6050	Surgical Placement: Transosteal Implant	$6,514	20%	$1,302.80
6065	Implant Supported Porcelain/Ceramic Crown	$1,804	20%	$360.78
6066	Implant Supported Porcelain Fused To Metal Crown (Titanium, Titanium Alloy, High Noble Metal)	$1,807	20%	$361.44
6067	Implant Supported Metal Crown (Titanium, Titanium Alloy, High Noble Metal)	$1,831	20%	$366.22
6240	Pontic - Porcelain Fused To High Noble Metal	$1,292	$548	58%
6241	Pontic - Porcelain Fused To Predominantly Base Metal	$1,194	$511	57%
6242	Pontic - Porcelain Fused To Noble Metal	$1,225	$526	57%
6750	Crown - Porcelain Fused To High Noble Metal	$1,297	$566	56%
6751	Crown - Porcelain Fused To Predominantly Base Metal	$1,175	$511	56%
6752	Crown - Porcelain Fused To Noble Metal	$1,214	$529	56%
7140	Extraction, Erupted Tooth Or Exposed Root (elevation And/or Forceps Removal)	$201	$68	66%
7210	Surgical Removal Of Erupted Tooth Requiring Removal Of Bone And/or Sectioning Of Tooth, And Including Elevation Of Mucoperiosteal Flap If Indicated	$320	$169	47%
7220	Removal Of Impacted Tooth - Soft Tissue	$362	$151	58%
7230	Removal Of Impacted Tooth - Partially Bony	$459	$191	58%
7240	Removal Of Impacted Tooth - Completely Bony	$559	$235	58%
7250	Surgical Removal Of Residual Tooth Roots (Cutting Procedure)	$362	$139	62%
7310	Alveoloplasty In Conjunction With Extractions - Four Or More Teeth Or Tooth Spaces, Per Quadrant	$353	$137	61%
7320	Alveoloplasty Not In Conjunction With Extractions -four Or More Teeth Or Tooth Spaces, Per Quadrant	$516	$192	63%
7510	Incision And Drainage Of Abscess - Intraoral Soft Tissue	$272	$90	67%
8070	Comprehensive Orthodontic Treatment Of The Transitional Dentition	$5,944	20%	$1,188.88
8080	Comprehensive Orthodontic Treatment Of The Adolescent Dentition	$6,005	20%	$1,201.00
8090	Comprehensive Orthodontic Treatment Of The Adult Dentition	$6,034	20%	$1,206.88
9110	Palliative (Emergency) Treatment Of Dental Pain - Minor Procedure	$150	$49	67%
9215	Local Anesthesia In Conjunction With Operative Or Surgical Procedures	$77	$21	73%
9230	Inhalation Of Nitrous Oxide / Anxiolysis, Analgesia	$93	$29	69%
9951	Occlusal Adjustment - Limited	$218	$75	66%
9952	Occlusal Adjustment - Complete	$811	$306	62%

Series 508
ADA Code	Procedure	Typical Fee	You Pay	Savings
0120	Periodic Oral Evaluation - Established Patient	$54	$24	55%
0140	Limited Oral Evaluation - Problem Focused	$80	$36	55%
0150	Comprehensive Oral Evaluation - New Or Established Patient	$94	$40	57%
0210	Intraoral - Complete Series (Including Bitewings)	$137	$70	49%
0220	Intraoral - Periapical First Film	$30	$13	57%
0230	Intraoral - Periapical Each Additional Film	$26	$10	62%
0270	Bitewing - Single Film	$30	$13	57%
0272	Bitewing - Two Films	$48	$21	56%
0273	Bitewing - Three Films	$60	$25	58%
0274	Bitewing - Four Films	$69	$30	57%
0330	Panoramic Film	$116	$61	47%
1110	prophylaxis - adult	$96	$49	49%
1120	Prophylaxis - Adult	$70	$34	52%
1351	Sealant - Per Tooth	$59	$28	52%
1510	Space Maintainer - Fixed - Unilateral	$333	$178	47%
1515	Space Maintainer - Fixed - Bilateral	$450	$254	44%
1520	Space Maintainer - Removable - Unilateral	$408	$213	48%
1525	Space Maintainer - Removable - Bilateral	$513	$265	48%
2140	Amalgam - One Surface, Primary Or Permanent	$148	$66	55%
2150	Amalgam - Two Surfaces, Primary Or Permanent	$189	$87	54%
2160	Amalgam - Three Surfaces, Primary Or Permanent	$233	$103	56%
2161	Amalgam - Four Or More Surfaces, Primary Or Permanent	$272	$109	60%
2330	Resin-Based Composite - One Surface, Anterior	$172	$80	53%
2331	Resin-Based Composite - Two Surfaces, Anterior	$212	$102	52%
2332	Resin-Based Composite - Three Surfaces, Anterior	$266	$127	52%
2335	Resin-Based Composite - Four Or More Surfaces Or Involving Incisal Angle (Anterior)	$329	$156	53%
2391	Resin-Based Composite - One Surface, Posterior	$191	$91	52%
2392	Resin-Based Composite - Two Surfaces, Posterior	$247	$123	50%
2393	Resin-Based Composite - Three Surfaces, Posterior	$306	$158	48%
2394	Resin-Based Composite - Four Or More Surfaces, Posterior	$364	$190	48%
2710	Crown - Resin-Based Composite (Indirect)	$1,017	$261	74%
2720	Crown - Resin With High Noble Metal	$1,118	$554	50%
2750	Crown - Porcelain Fused To High Noble Metal	$1,177	$667	43%
2751	Crown - Porcelain Fused To Predominantly Base Metal	$1,084	$596	45%
2752	Crown - Porcelain Fused To Noble Metal	$1,109	$625	44%
2790	Crown - Full Cast High Noble Metal	$1,182	$644	46%
2791	Crown - Full Cast Predominantly Base Metal	$1,046	$564	46%
2930	Prefabricated Stainless Steel Crown - Primary Tooth	$281	$152	46%
2931	Prefabricated Stainless Steel Crown - Permanent Tooth	$342	$174	49%
2950	Core Buildup, Including Any Pins	$281	$153	46%
2951	Pin Retention - Per Tooth, In Addition To Restoration	$78	$33	58%
2952	Post And Core In Addition To Crown, Indirectly Fabricated	$440	$239	46%
2954	Prefabricated Post And Core In Addition To Crown	$351	$188	46%
3110	Pulp Cap - Direct (Excluding Final Restoration)	$87	$41	53%
3120	Pulp Cap - Indirect (Excluding Final Restoration)	$89	$36	60%
3220	Therapeutic Pulpotomy (Excluding Final Restoration) - Removal of Pulp Coronal to the Dentinocemental Junction and Application of Medicament	$208	$98	53%
3310	Endodontic Therapy, Anterior Tooth (Excluding Final Restoration)	$763	$375	51%
3320	Endodontic Therapy, Bicuspid Tooth (Excluding Final Restoration)	$880	$457	48%
3330	Endodontic Therapy, Molar (Excluding Final Restoration)	$1,066	$575	46%
4210	Gingivectomy Or Gingivoplasty - Four Or More Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant	$665	$364	45%
4341	Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant	$272	$139	49%
4910	Periodontal Maintenance	$146	$75	49%
5110	Complete Denture - Maxillary	$1,798	$842	53%
5120	Complete Denture - Mandibular	$1,798	$842	53%
5130	Immediate Denture - Maxillary	$1,921	$892	54%
5140	Immediate Denture - Mandibular	$1,922	$892	54%
5211	Maxillary Partial Denture - Resin Base (Including Any Conventional Clasps, Rests And Teeth)	$1,426	$631	56%
5212	Mandibular Partial Denture - Resin Base (Including Any Conventional Clasps, Rests And Teeth)	$1,429	$631	56%
5213	Maxillary Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps, Rests And Teeth)	$1,870	$909	51%
5214	Mandibular Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps, Rests And Teeth)	$1,872	$909	51%
5410	Adjust Complete Denture - Maxillary	$94	$48	49%
5411	Adjust Complete Denture - Mandibular	$94	$48	49%
5510	Repair Broken Complete Denture Base	$222	$103	54%
5520	Replace Missing Or Broken Teeth - Complete Denture (Each Tooth)	$197	$92	53%
5630	Repair Or Replace Broken Clasp	$276	$139	50%
5650	Add Tooth To Existing Partial Denture	$234	$117	50%
5660	Add Clasp To Existing Partial Denture	$285	$154	46%
5730	Reline Complete Maxillary Denture (Chairside)	$392	$211	46%
5731	Reline Complete Mandibular Denture (Chairside)	$390	$197	49%
5740	Reline Maxillary Partial Denture (Chairside)	$385	$189	51%
5741	Reline Mandibular Partial Denture (Chairside)	$390	$189	51%
5750	Reline Complete Maxillary Denture (Laboratory)	$502	$268	47%
5751	Reline Complete Mandibular Denture (laboratory)	$502	$268	47%
6040	Surgical Placement: Eposteal Implant	$8,552	20%	$1,710.42
6050	Surgical Placement: Transosteal Implant	$5,914	20%	$1,182.70
6065	Implant Supported Porcelain/Ceramic Crown	$1,638	20%	$327.50
6066	Implant Supported Porcelain Fused To Metal Crown (Titanium, Titanium Alloy, High Noble Metal)	$1,641	20%	$328.10
6067	Implant Supported Metal Crown (Titanium, Titanium Alloy, High Noble Metal)	$1,662	20%	$332.46
6240	Pontic - Porcelain Fused To High Noble Metal	$1,173	$643	45%
6241	Pontic - Porcelain Fused To Predominantly Base Metal	$1,084	$599	45%
6242	Pontic - Porcelain Fused To Noble Metal	$1,113	$619	44%
6750	Crown - Porcelain Fused To High Noble Metal	$1,178	$666	43%
6751	Crown - Porcelain Fused To Predominantly Base Metal	$1,066	$600	44%
6752	Crown - Porcelain Fused To Noble Metal	$1,102	$621	44%
7140	Extraction, Erupted Tooth Or Exposed Root (elevation And/or Forceps Removal)	$183	$80	56%
7210	Surgical Removal Of Erupted Tooth Requiring Removal Of Bone And/or Sectioning Of Tooth, And Including Elevation Of Mucoperiosteal Flap If Indicated	$290	$143	51%
7220	Removal Of Impacted Tooth - Soft Tissue	$328	$174	47%
7230	Removal Of Impacted Tooth - Partially Bony	$416	$224	46%
7240	Removal Of Impacted Tooth - Completely Bony	$508	$277	45%
7250	Surgical Removal Of Residual Tooth Roots (Cutting Procedure)	$328	$165	50%
7310	Alveoloplasty In Conjunction With Extractions - Four Or More Teeth Or Tooth Spaces, Per Quadrant	$321	$158	51%
7320	Alveoloplasty Not In Conjunction With Extractions -four Or More Teeth Or Tooth Spaces, Per Quadrant	$468	$210	55%
7510	Incision And Drainage Of Abscess - Intraoral Soft Tissue	$247	$106	57%
8070	Comprehensive Orthodontic Treatment Of The Transitional Dentition	$5,396	20%	$1,079.26
8080	Comprehensive Orthodontic Treatment Of The Adolescent Dentition	$5,451	20%	$1,090.28
8090	Comprehensive Orthodontic Treatment Of The Adult Dentition	$5,478	20%	$1,095.58
9110	Palliative (Emergency) Treatment Of Dental Pain - Minor Procedure	$137	$59	57%
9215	Local Anesthesia In Conjunction With Operative Or Surgical Procedures	$69	$28	60%
9230	Inhalation Of Nitrous Oxide / Anxiolysis, Analgesia	$84	$37	56%
9951	Occlusal Adjustment - Limited	$197	$88	55%
9952	Occlusal Adjustment - Complete	$736	$360	51%

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