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Find a Dentist In Your Area
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Discount Dentist Fees
With our Discount Dental Services,
Save On Every Single Dentist Visit—Preventative, Restorative, and Cosmetic
Most people don’t know the actual cost of dentistry. That’s because there are very few resources readily available to consumers. Walking into the dentist’s office without information about pricing can be extremely stressful. Below you will find a comprehensive chart comparing the typical cost of dental procedures and our discounted prices. Once you see the significant savings with our discount dental services, you’ll wonder why you didn’t sign up sooner!
Here's a dental services glossary of terms to help you better understand the dental terminology and discount dental services listed below.
Diagnostic Procedures
| ADA CODE Procedure |
UDP Fee |
Average Fee |
Your Savings |
| 00110 Initial oral evaluation
|
Free |
$30.00 |
$30.00 |
| 00210 Full Mouth X-Ray
|
$82.00 |
$115.00 |
$33.00 |
| 00272 Bitewing X-Ray films, two
|
$22.00 |
$45.00 |
$23.00 |
| 00274 Bitewing X-Ray films, four
|
$34.00 |
$75.00 |
$41.00 |
| 00330 Panoramic film
|
$72.00 |
$95.00 |
$23.00 |
| 00480 Pulp vitality test
|
$32.00 |
$53.00 |
$21.00 |
| 01330 Oral hygiene instruction
|
Free |
$18.00 |
$18.00 |
| 00120 Periodic oral evaluation
|
Free |
$30.00 |
$30.00 |
| 00130 Emergency oral evaluation
|
$25.00 |
$75.00 |
$50.00 |
| 00220 Intraoral X-Ray film, single first
|
$15.00 |
$35.00 |
$20.00 |
| 00230 Intraoral X-Ray film, each additional
|
$15.00 |
$25.00 |
$10.00 |
| 00270 Bitewing X-Ray film, each additional
|
$15.00 |
$25.00 |
$10.00 |
Preventive Procedures
| ADA Code Procedure |
UDP Fee |
Average Fee |
Your Savings |
| 01351 Sealant per tooth
|
$35.00 |
$46.00 |
$11.00 |
| 01510 Space maintainer - fixed unilateral type
|
$245.00 |
$360.00 |
$115.00 |
| 01515 Space maintainer - fixed bilateral type
|
$365.00 |
$450.00 |
$85.00 |
| 01110 Prophylaxis (Cleaning) - Adult
|
$56.00 |
$88.00 |
$32.00 |
| 01120 Prophylaxis (Cleaning) - Child
|
$46.00 |
$80.00 |
$34.00 |
| 01205 Topical fluoride application (excl. prophylaxis) - Child
|
$25.00 |
$45.00 |
$20.00 |
| 01205 Topical fluoride application (excl. prophylaxis) - Adult
|
$25.00 |
$55.00 |
$30.00 |
Cosmetic Procedures
| ADA Code Procedure |
UDP Fee |
Average Fee |
Your Savings |
| 03960 Bleaching(whitening) per jaw
|
$235.00 |
$450.00 |
$215.00 |
| 02962 Porcelain laminate veneer, per tooth
|
$565.00 |
$855.00 |
$290.00 |
Restorative Procedures
| ADA Code Procedure |
UDP Fee |
Average Fee |
Your Savings |
| 02131 Amalgam - 4+ surfaces permanent/primary
|
$138.00 |
$200.00 |
$62.00 |
| 02330 Resin - 1 surface anterior
|
$98.00 |
$126.00 |
$28.00 |
| 02331 Resin - 2 surfaces anterior
|
$112.00 |
$158.00 |
$46.00 |
| 02332 Resin - 3 surfaces anterior
|
$144.00 |
$192.00 |
$48.00 |
| 02335 Resin - 4+ surfaces or involing incisal angle
|
$166.00 |
$220.00 |
$54.00 |
| 02110 Amalgam - 1 surface permanent/primary
|
$90.00 |
$115.00 |
$25.00 |
| 02120 Amalgam - 2 surfaces permanent/primary
|
$102.00 |
$135.00 |
$33.00 |
| 02130 Amalgam - 3 surfaces permanent/primary
|
$114.00 |
$165.00 |
$51.00 |
| 02752 Crown procelain fused to noble metal
|
$865.00 |
$1,120.00 |
$255.00 |
| 02392 Resin-based composite, two surfaces, posterior
|
$130.00 |
$185.00 |
$55.00 |
| 02394 Resin-based composite, four surfaces, posterior
|
$175.00 |
$245.00 |
$70.00 |
| 02751 Crown porcelain fused to base metal
|
$825.00 |
$1,095.00 |
$270.00 |
| 02791 Crown full cast (base metal)
|
$745.00 |
$965.00 |
$220.00 |
| 02920 Recement crown
|
$72.00 |
$95.00 |
$23.00 |
| 02930 Prefab'd SS crown - Primary tooth
|
$182.00 |
$254.00 |
$72.00 |
| 02931 Prefab'd SS crown - Permanent tooth
|
$188.00 |
$234.00 |
$46.00 |
| 02932 Prefab'd resin crown
|
$242.00 |
$290.00 |
$48.00 |
| 02940 Sedative filling
|
$58.00 |
$95.00 |
$37.00 |
| 02950 Crown buildup, including any pins
|
$185.00 |
$235.00 |
$50.00 |
| 02951 Pin retention/tooth, in add. to rest.
|
$43.00 |
$75.00 |
$32.00 |
| 02952 Cast post/core in addition to crown
|
$245.00 |
$325.00 |
$80.00 |
| 02953 Cast post as part of crown
|
$225.00 |
$296.00 |
$71.00 |
| 02954 Prefab'd post/core in add. to crown
|
$197.00 |
$245.00 |
$48.00 |
| 02970 Temporary crown (fractured tooth)
|
$175.00 |
$265.00 |
$90.00 |
| 02393 Resin-based composite, three surfaces, posterior
|
$155.00 |
$215.00 |
$60.00 |
| 02391 Resin-based composite, one surface, posterior
|
$104.00 |
$140.00 |
$36.00 |
Endodontic Procedures
| ADA Code Procedure |
UDP Fee |
Average Fee |
Your Savings |
| 03220 Therapeutic pulpotomy (excl. final rest.)
|
$98.00 |
$145.00 |
$47.00 |
| 03310 Root canal - anterior (excl. final rest.)
|
$565.00 |
$780.00 |
$215.00 |
| 03110 Pulp cap-direct (excl. final rest.)
|
$63.00 |
$95.00 |
$32.00 |
| 03120 Pulp cap-indirect (excl. final rest.)
|
$63.00 |
$95.00 |
$32.00 |
| 03320 Root canal - bicuspid (excl. final rest.)
|
$645.00 |
$925.00 |
$280.00 |
| 03330 Root canal - molar (excl. final rest.)
|
$815.00 |
$1,115.00 |
$300.00 |
| 03920 Hemisection (incl. root removal)
|
$262.00 |
$382.00 |
$120.00 |
Periodontic Procedures
| ADA Code Procedure |
UDP Fee |
Average Fee |
Your Savings |
| 04270 Pedicle soft tissue graft procedure
|
$515.00 |
$630.00 |
$115.00 |
| 04210 Gingivectomy or gingivoplasty-per quad.
|
$385.00 |
$550.00 |
$165.00 |
| 04211 Gingivectomy or gingivoplasty-per tooth
|
$175.00 |
$235.00 |
$60.00 |
| 04240 Gingival flap proc., incl. root planing/quad.
|
$565.00 |
$730.00 |
$165.00 |
| 04260 Osseous surg., incl. flap entry-close/quad
|
$825.00 |
$975.00 |
$150.00 |
| 04341 Periodontal scaling and root planing/quad
|
$165.00 |
$225.00 |
$60.00 |
| 04345 Periodontal scaling, w/ gingival inflamation
|
$120.00 |
$185.00 |
$65.00 |
| 04910 Periodontal maint. proc (following active therapy)
|
$92.00 |
$125.00 |
$33.00 |
Prosthodontics, Removal
| ADA Code Procedure |
UDP Fee |
Average Fee |
Your Savings |
| 05510 Complete upper or lower denture incl. 6-mos post-insertion care
|
$875.00 |
$1,200.00 |
$325.00 |
| 05130 Immediate upper or lower denture (w/6-mos post care) (does not incl.req. future rebasing/relining procedure(s) or complete new dentures)
|
$945.00 |
$1,350.00 |
$405.00 |
| 05211 Upper part. or lower part.dent.-acrylic base, incl. any conventional clasps & rests
|
$685.00 |
$950.00 |
$265.00 |
| 05410/1 Adjust complete denture-upper (after 6-mos)
|
$55.00 |
$95.00 |
$40.00 |
| 05410/1 Adjust complete denture-lower (after 6-mos)
|
$55.00 |
$95.00 |
$40.00 |
| 05421/2 Adjust partial denture-upper (after 6-mos)
|
$55.00 |
$95.00 |
$40.00 |
| 05421/2 Adjust partial denture-lower (after 6-mos)
|
$55.00 |
$95.00 |
$40.00 |
| 05510 Repair broken complete denture base
|
$145.00 |
$255.00 |
$110.00 |
| 05520 Replace missing/broken teeth-comp. dent./tooth
|
$145.00 |
$225.00 |
$80.00 |
| 05610 Repair partial denture resin saddle or base
|
$140.00 |
$225.00 |
$85.00 |
| 05630 Repair or replace denture broken clasp
|
$140.00 |
$225.00 |
$85.00 |
| 05640 Repair broken teeth-partial denture (per tooth)
|
$95.00 |
$185.00 |
$90.00 |
| 05650 Add tooth to existing partial denture
|
$145.00 |
$225.00 |
$80.00 |
| 05660 Add clasp to existing partial denture
|
$145.00 |
$225.00 |
$80.00 |
| 05810/1 Temporary complete denture (upper or Lower)
|
$395.00 |
$545.00 |
$150.00 |
| 05820/1 Temporary partial-stayplate denture (upper or lower)
|
$335.00 |
$490.00 |
$155.00 |
| 05213 Upper part. or lower part. - predominantly base cast base w/acrylic saddles incl.
|
$875.00 |
$1,200.00 |
$325.00 |
| 05710/1 Rebase complete upper or lower denture (LAB)
|
$295.00 |
$425.00 |
$130.00 |
| 05720/1 Rebase upper or lower partial denture (LAB)
|
$295.00 |
$425.00 |
$130.00 |
| 05730/1 Reline complete upper or lower denture (chairside)
|
$195.00 |
$295.00 |
$100.00 |
| 05740/1 Reline upper or lower partial denture (chairside)
|
$195.00 |
$295.00 |
$100.00 |
Prosthodontics, Fixed Bridges
| ADA Code Procedure |
UDP Fee |
Average Fee |
Your Savings |
| 06751 Crown-(abutment) porcelain fuse to metal
|
$845.00 |
$1,125.00 |
$280.00 |
| 06940 Stress breaker
|
$215.00 |
$295.00 |
$80.00 |
| 06950 Precision attachments (each)
|
$395.00 |
$650.00 |
$255.00 |
| 06970 Cast post/core in add. to bridge retainer
|
$265.00 |
$335.00 |
$70.00 |
| 06241 Pontic-porcelan fuse to metal
|
$825.00 |
$1,095.00 |
$270.00 |
| 06545 Cast metal retainer for acid etch bridge
|
$395.00 |
$490.00 |
$95.00 |
| 06791 Crown-(abutment) full cast base metal
|
$745.00 |
$965.00 |
$220.00 |
| 06930 Recement bridge
|
$95.00 |
$170.00 |
$75.00 |
| 06971 Cast post as part of bridge retainer
|
$245.00 |
$325.00 |
$80.00 |
| 06972 Prefab'd post/core in add. to bridge retainer
|
$210.00 |
$285.00 |
$75.00 |
Oral Surgery
| ADA Code Procedure |
UDP Fee |
Average Fee |
Your Savings |
| 07110 Extraction (simple) - single tooth
|
$95.00 |
$160.00 |
$65.00 |
| 07210 Surgical removal of erupted tooth requiring elevation of mucoperiosteal flap and/or section of tooth - each tooth
|
$195.00 |
$285.00 |
$90.00 |
Surgical procedures listed above include the administration of local anesthesia only. The administration of nitrous oxide, intravenous sedation or general anesthesia is available at additional cost to the subscriber.
Adjunctive General Services
| ADA Code Procedure |
UDP Fee |
Average Fee |
Your Savings |
| 00016 Failed appointment without 24 hour notice per 15 minutes
|
$54.00 |
$80.00 |
$26.00 |
| Palliative (ER) treatment of minor pain |
$48.00 |
$90.00 |
$42.00 |
| Night guard |
$325.00 |
$415.00 |
$90.00 |
Pediatric Dentistry
| Procedure |
UDP Fee |
Average Fee |
Your Savings |
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20% discount from customary fees
TMJ Dentistry
| Procedure |
UDP Fee |
Average Fee |
Your Savings |
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20% discount from customary fees
Oral Surgery SS
| ADA Code Procedure |
UDP Fee |
Average Fee |
Your Savings |
| 07110 Extraction (simple) - single tooth
|
$135.00 |
$190.00 |
$55.00 |
| 07210 Surgical removal of erupted tooth requiring elevation of mucoperiosteal flap and/or section of tooth - each tooth
|
$285.00 |
$395.00 |
$110.00 |
| 07220 Removal of impacted tooth - soft tissue
|
$265.00 |
$370.00 |
$105.00 |
| 07230 Removal of impacted tooth - partial bony
|
$335.00 |
$445.00 |
$110.00 |
| 07240 Removal of impacted tooth - complete bony
|
$395.00 |
$485.00 |
$90.00 |
| 07241 Removal of impacted tooth - complete bony with unusual surgical complications
|
$475.00 |
$580.00 |
$105.00 |
| 07250 Surgical Removal - residual tooth roots (cut. proc.)
|
$225.00 |
$380.00 |
$155.00 |
| 07281 Surgical exposure of impacted or unerupted tooth to aid eruption
|
$295.00 |
$425.00 |
$130.00 |
| 07310 Alvecolectomy/plasty in conj. w/ext./quad
|
$265.00 |
$375.00 |
$110.00 |
| 07320 Alvecolectomy/plasty not in conj. w/ext./quad
|
$335.00 |
$425.00 |
$90.00 |
| 07960 Frenulectomy (frenectomy or frenotomy)
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$385.00 |
$495.00 |
$110.00 |
| 07970 Excision of hyperplastic tissue-per arch
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$365.00 |
$470.00 |
$105.00 |
| 07971 Excision of periocoronal gingiva
|
$195.00 |
$280.00 |
$85.00 |
Orthodontics
| ADA Code Procedure |
UDP Fee |
Average Fee |
Your Savings |
| 08010 Initial orthodontric appliances, constuction/installation
|
$525.00 |
$670.00 |
$145.00 |
| Active treatment phase - up to 24 months |
$3,285.00 |
$3,875.00 |
$590.00 |
| Retention phase including retainer |
$320.00 |
$385.00 |
$65.00 |
| Orthodontic records, treatment plan, and consultation |
$220.00 |
$295.00 |
$75.00 |
Continuation of orthodontic treatment beyond 24 months and other orthodontic services available at a 20% discount from usual and customary fees charged by orthodontists on Plan Provider listing. Orthodontic treatment includes treatment of mixed and/or permanent dentition under 08400/08500 series codes.
Periodontics
| ADA Code Procedure |
UDP Fee |
Average Fee |
Your Savings |
| 04240 Gingival flap proc., incl. root planing/quad
|
$735.00 |
$885.00 |
$150.00 |
| 04260 Osseous surgery, incl. flap entry/close/quad
|
$1,145.00 |
$1,375.00 |
$230.00 |
| 04270 Pedicle soft tissue graft procedure
|
$775.00 |
$945.00 |
$170.00 |
| 04341 Periodontal scaling and root planing/quad
|
$235.00 |
$295.00 |
$60.00 |
| 04345 Periodontal scaling, with gingival inflammation
|
$190.00 |
$265.00 |
$75.00 |
Endodontics
| ADA Code Procedure |
UDP Fee |
Average Fee |
Your Savings |
| 03310 Root canal - anterior (excl. final rest.)
|
$720.00 |
$875.00 |
$155.00 |
| 03320 Root canal - bicuspid (excl. final rest.)
|
$815.00 |
$1,075.00 |
$260.00 |
| 03330 Root canal - molar (excl. final rest.)
|
$1,050.00 |
$1,275.00 |
$225.00 |
| 03410 Apicoectomy (per tooth) - first root
|
$460.00 |
$575.00 |
$115.00 |
| 03411 Apicoectomy (per tooth) - each add. root
|
$215.00 |
$360.00 |
$145.00 |
| 03430 Retrograde filling - per root
|
$215.00 |
$325.00 |
$110.00 |
| 03450 Root amputation - per root
|
$295.00 |
$395.00 |
$100.00 |
| 03920 Hemisection (incl. root removal; excl. RC)
|
$355.00 |
$460 |
$105.00 |
Implantology
| Procedure |
UDP Fee |
Average Fee |
Your Savings |
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Prices noted for implants include Stages 1 and 2; any prosthetic services (i.e. crowns, fixed bridges, complete or partial dentures) are available at 20% discount.
Plan Guidelines
- The dentist listing is subject to change without notice. Please call the dentist's office and let
them know that you are a Universal Dental Plan member and confirm that they are accepting new Universal
Dental Plan patients.
- When seeing your General Practitioner, initial and periodic oral evaluations
(exams) and bitewing x-rays must accompany another procedure.
- The dentist office will discount those
procedures that are not listed on this fee schedule by 20%.
- When visiting a specialist, the consultation
is at a 20% discount from the dentist's usual and customary fees.
- The fee schedule is subject to
change without notice.
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