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Whether you need a membership for just yourself or the entire family, we’ve got options. To get started, simply select the membership type that works best for you.
Start saving today! A healthy smile doesn’t
need to be expensive.
Low Annual Subscription Fee
Say goodbye to confusing dental insurance, hello to subscription-based dentistry 🙂
Membership Advantages
- FREE Emergency X-Rays
- FREE Oral Cancer Screening (1x per year)
- 20-50% OFF Routine Cleanings
- 20% OFF Most Other Services
- NO Waiting Periods
- NO Maximums
- NO Exclusions
- NO Claim Forms
JOIN & SAVE NOW
*Member savings may vary by location. Please see your participating office's specific member discounts below for more details.
Examples of Savings
Enjoy quality dentistry at a fraction of the cost with DecisionOne Dental Plan.
Select Your Office
| ADA Code | Description | Member Pays |
|---|---|---|
| D0120 | Periodic Oral Evaluation | Select Office |
| D0140 | Limited Oral Evaluation - problem focused | Select Office |
| D0150 | Comprehensive Exam | Select Office |
| D0210 | X-rays - Complete Set | Select Office |
| D0220 | X-Ray - Intraoral - First Image (as needed) | Select Office |
| D0270 | X-Ray - Bitewing - Single (as needed) | Select Office |
| D0272 | X-ray - 2 Bitewings (as needed) | Select Office |
| D0274 | X-Ray - 4 Bitewings (as needed) | Select Office |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $44.00 | |
| D0140 | Limited Oral Evaluation - problem focused | $65.00 | |
| D0150 | Comprehensive Exam | $75.00 | |
| D0210 | X-rays - Complete Set | 40% off UCR | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | 50% off UCR | |
| D0274 | X-Ray - 4 Bitewings (as needed) | 25% off UCR | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $89.00 | |
| D1120 | Child Teeth Cleaning | $67.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $29.00 | |
| D0140 | Limited Oral Evaluation - problem focused | NO Charge | |
| D0150 | Comprehensive Exam | $46.00 | |
| D0210 | X-rays - Complete Set | NO Charge | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | NO Charge | |
| D0274 | X-Ray - 4 Bitewings (as needed) | NO Charge | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $66.00 | |
| D1120 | Child Teeth Cleaning | $48.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $44.00 | |
| D0140 | Limited Oral Evaluation - problem focused | $65.00 | |
| D0150 | Comprehensive Exam | $75.00 | |
| D0210 | X-rays - Complete Set | 40% off UCR | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | 50% off UCR | |
| D0274 | X-Ray - 4 Bitewings (as needed) | 25% off UCR | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $89.00 | |
| D1120 | Child Teeth Cleaning | $67.00 | |
| ADA Code | Description | Member Pays | |
|---|---|---|---|
| Diagnostic & Preventative | |||
| D0120 | Periodic Oral Evaluation | $44.00 | |
| D0140 | Limited Oral Evaluation - problem focused | $65.00 | |
| D0150 | Comprehensive Exam | $75.00 | |
| D0210 | X-rays - Complete Set | 40% off UCR | |
| D0220 | X-Ray - Intraoral - First Image (as needed) | NO Charge | |
| D0270 | X-Ray - Bitewing - Single (as needed) | NO Charge | |
| D0272 | X-ray - 2 Bitewings (as needed) | 50% off UCR | |
| D0274 | X-Ray - 4 Bitewings (as needed) | 25% off UCR | |
| D0431 | Adjunctive Oral Cancer Exam | NO Charge | |
| D1110 | Adult Teeth Cleaning | $89.00 | |
| D1120 | Child Teeth Cleaning | $67.00 | |
*Member savings may vary by location. Free oral cancer screening limited to 1x per member/per annual membership term.
View More SavingsHow It Works
We think that access to quality dentistry should be like your teeth: straightforward. That’s why we make paying for dental care affordable for any budget and simple as 1-2-3.
Choose Your Office
Utilize your membership perks and savings right away at a growing community of 30+ dental offices across Chicago and Milwaukee.
Save Money & Smile
Enjoy immediate access to exclusive member discounts including free emergency x-rays and oral cancer screening, plus 20-50% off most other services. No waiting periods or maximums!