Dental Direct - Discount Dental Plans

Discount Dental Plan	Individual Plan Annual Price	Family Plan Annual Price	Senior Plan Annual Price
Dental Direct	$90	$150	$59.94
OptumHealth Allies Dental Program	$159.95	$189.95	No Discount Offered
Alliance HealthCard Gold Card	$144.95	$199.95	No Discount Offered
Signature Wellness Plan	$144.95	$199.95	No Discount Offered
Careington Care 500 Series	$139.95	$189.95	No Discount Offered
Preferred Network Access by CIGNA	$134.95	$189.95	No Discount Offered
Vital Savings by Aetna	$134.95	$179.95	No Discount Offered
Affordable Family Health Services	$124.95	$169.95	No Discount Offered
Dental Care Advantage	$124.95	$169.95	No Discount Offered
Avia Dental Plan	$124.95	$169.95	No Discount Offered
Amacore Dental Program	$119.95	$159.95	No Discount Offered
Northeast - Southeast Dental Plan (Now DentalSave)	$114.95	$169.95	No Discount Offered
Dent-All Plan	$114.95	$169.95	No Discount Offered
Careington Select Plan	$114.95	$169.95	No Discount Offered
UNI-CARE 200 Discount Dental Plan	$114.95	$169.95	No Discount Offered
Patriot Plan Plus	$114.95	$169.95	No Discount Offered
Argus Dental Smile Card	$107.40	$179.40	No Discount Offered
Qualident Reduced Fee Dental Plan	$104.95	$159.95	No Discount Offered
Aetna Dental Access	$104.95	$159.95	No Discount Offered
Access Dental Plan	$104.95	$159.95	No Discount Offered
DenteMax Discount Dental Plan	$104.95	$159.95	No Discount Offered
Liberty Dental Program of America	$104.95	$159.95	No Discount Offered
Patriot Plan	$104.95	$159.95	No Discount Offered

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Plan Prices

Routine
Dental Services

Fillings
White/Silver

Root Canal Treatment

Crowns &
Dentures

All Services
Discounted Fees

Discount Dental Plan	Adult Cleaning	Child Cleaning	Panoramic X-rays	Full Mouth X-rays	6 Month Exam
Dental Direct	Free	Free	$45	$50	$15
Signature Wellness Plan	$82	$59	$92	$88	$0
Dent-All Plan	$56	$41	$70	$87	$29
OptumHealth Allies Dental Program	$50	$34	$59	$75	$23
DenteMax Discount Dental Plan	$49	$36	$63	$72	$25
Careington Select Plan	$54	$39	$63	$72	$27
Preferred Network Access by CIGNA	$42	$31	$57	$70	$22
Alliance HealthCard Gold Card	$42	$31	$57	$70	$22
Aetna Dental Access	$55	$36	$60	$69	$28
Patriot Plan Plus	$48	$33	$58	$67	$21
Dental Care Advantage	$46	$35	$57	$61	$30
Access Dental Plan	$46	$35	$57	$61	$30
Qualident Reduced Fee Dental Plan	$45	$35	$48	$60	$20
Vital Savings by Aetna	$55	$36	$60	$59	$28
Amacore Dental Program	$43	$34	$55	$55	$25
Careington Care 500 Series	$38	$33	$53	$53	$17
Liberty Dental Program of America	$50	$30	$50	$50	$25
Affordable Family Health Services	$38	$28	$45	$45	$10
Northeast - Southeast Dental Plan (Now DentalSave)	$60	$40	$45	$45	$0
UNI-CARE 200 Discount Dental Plan	$39	$33	$44	$44	$15
Avia Dental Plan	$30	$25	$40	$40	$13
Patriot Plan	$39	$28	$25%	$25%	$25%
Argus Dental Smile Card	$	$	$	$	$

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Plan Prices

Routine
Dental Services

Fillings
White/Silver

Root Canal Treatment

Crowns &
Dentures

All Services
Discounted Fees

Discount Dental Plan	Amalgam 1 Surface Filling - Silver	Composite 1 Surface Filling - White
Dental Direct	$45	$55
Dent-All Plan	$76	$89
Liberty Dental Program of America	$65	$85
Careington Select Plan	$71	$82
DenteMax Discount Dental Plan	$68	$82
Preferred Network Access by CIGNA	$66	$77
Alliance HealthCard Gold Card	$66	$77
OptumHealth Allies Dental Program	$59	$76
Dental Care Advantage	$60	$72
Access Dental Plan	$60	$72
Vital Savings by Aetna	$59	$72
Aetna Dental Access	$59	$72
Patriot Plan Plus	$58	$71
UNI-CARE 200 Discount Dental Plan	$65	$69
Amacore Dental Program	$59	$69
Northeast - Southeast Dental Plan (Now DentalSave)	$55	$69
Careington Care 500 Series	$53	$68
Affordable Family Health Services	$60	$65
Patriot Plan	$50	$61
Qualident Reduced Fee Dental Plan	$50	$60
Avia Dental Plan	$45	$55
Signature Wellness Plan	$105	$125
Argus Dental Smile Card	$	$

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Plan Prices

Routine
Dental Services

Fillings
White/Silver

Root Canal Treatment

Crowns &
Dentures

All Services
Discounted Fees

Discount Dental Plan	Perio Scaling / Per Quadrant	Root Canal Treatment - Molar
Dental Direct	$70	$475
Signature Wellness Plan	$221	$924
Dent-All Plan	$150	$703
Liberty Dental Program of America	$105	$675
DenteMax Discount Dental Plan	$134	$656
Careington Select Plan	$139	$645
Vital Savings by Aetna	$119	$627
Aetna Dental Access	$119	$627
OptumHealth Allies Dental Program	$113	$596
Preferred Network Access by CIGNA	$130	$555
Alliance HealthCard Gold Card	$130	$555
Dental Care Advantage	$125	$555
Access Dental Plan	$125	$555
UNI-CARE 200 Discount Dental Plan	$133	$549
Amacore Dental Program	$120	$540
Patriot Plan Plus	$111	$540
Qualident Reduced Fee Dental Plan	$100	$540
Careington Care 500 Series	$118	$516
Northeast - Southeast Dental Plan (Now DentalSave)	$75	$510
Avia Dental Plan	$95	$460
Patriot Plan	$101	$428
Affordable Family Health Services	$100	$25%
Argus Dental Smile Card	$	$

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Plan Prices

Routine
Dental Services

Fillings
White/Silver

Root Canal Treatment

Crowns &
Dentures

All Services
Discounted Fees

Discount Dental Plan	Crown - Porcelain Fused to High Noble Metal	Complete Denture - Full Upper
Dental Direct	$650	$700
Liberty Dental Program of America	$775	$750
Dent-All Plan	$727	$964
Vital Savings by Aetna	$701	$952
Aetna Dental Access	$701	$952
Careington Select Plan	$654	$793
DenteMax Discount Dental Plan	$641	$735
OptumHealth Allies Dental Program	$622	$717
Patriot Plan Plus	$618	$812
Northeast - Southeast Dental Plan (Now DentalSave)	$600	$700
Careington Care 500 Series	$595	$751
Dental Care Advantage	$580	$775
Access Dental Plan	$580	$775
Preferred Network Access by CIGNA	$568	$741
Alliance HealthCard Gold Card	$568	$741
Amacore Dental Program	$560	$755
Affordable Family Health Services	$550	$700
Qualident Reduced Fee Dental Plan	$535	$575
Patriot Plan	$534	$623
Avia Dental Plan	$490	$600
UNI-CARE 200 Discount Dental Plan	$20%	$741
Signature Wellness Plan	$1008	$1360
Argus Dental Smile Card	$	$

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Plan Prices

Routine
Dental Services

Fillings
White/Silver

Root Canal Treatment

Crowns &
Dentures

All Services
Discounted Fees

Procedures	CDT Code	Private Usual Fee	Dental Direct Member Fee	Savings
GENERAL DENTISTRY FEES
DIAGNOSTIC & PREVENTATIVE DENTAL SERVICES
PERIODIC ORAL EVALUATION	D0120	$38.68	$15.00	$23.68
XRAYS - COMPLETE SERIES	D0210	$101.90	$50.00	$51.90
PANORAMIC FILM	D0330	$87.90	$45.00	$42.90
PROPHYLAXIS - ADULT CLEANING	D1110	$78.14	$35.00	$43.14
PROPHYLAXIS - CHILD CLEANING	D1120	$56.34	$30.00	$26.34
SEALANT - PER TOOTH (NO AGE LIMIT)	D1351	$41.41	$20.00	$21.41
RESTORATIVE DENTAL SERVICES
AMALGAM ONE SURFACE	D2140	$94.23	$45.00	$49.23
RESIN BASED COMPOSITE ONE SURFACE	D2330	$113.45	$55.00	$58.45
CROWN PORCELAIN FUSED TO HIGH NOBLE	D2750	$911.95	$650.00	$261.95
ENDODONTICS
THERAPUTIC PULPOTOMY	D3220	$145.94	$60.00	$85.94
ROOT CANAL - ANTERIOR	D3310	$551.98	$300.00	$251.98
ROOT CANAL - BICUSPID	D3320	$650.19	$375.00	$275.19
ROOT CANAL - MOLAR	D3330	$806.29	$475.00	$331.29
PROSTHODONTICS - REMOVABLE
COMPLETE DENTURE - MAXILLARY	D5110	$1,255.13	$700.00	$555.13
IMMEDIATE DENTURE - MAXILLARY	D5130	$1,303.47	$575.00	$728.47
RELINE DENTURE COMPLETE MAXILLARY	D5750	$341.49	$200.00	$141.49
MISCELLANEOUS
LAMINATES/VENEERS		$1,200.00	$750.00	$450.00
NITEGUARD		$485.00	$350.00	$135.00
IN OFFICE TEETH WHITENING BY PROFESSIONAL		$775.00	$475.00	$300.00
DENTAL SPECIALISTS FEES
ORTHODONTICS ADULT BRACES TEEN BRACES
COMPLETE ORTHODONTIC TREATMENT ADOLESCENT DENTITION	D8080	$5,040.53	25% DISCOUNT	$1,260.13
COMPLETE ORTHODONTIC TREATMENT ADULT DENTITION	D8090	$5,430.13	25% DISCOUNT	$1,357.53
ORAL SURGERY
SURGICAL EXTRACTION	D7210	$232.17	$175.00	$57.17
DENTAL IMPLANT	D6010	$1,804.77	$1,250.00	$554.77
PERIODONTIST
PERIO EVALUATION	D0180	$117.84	$100.00	$17.84
GINGIVECTOMY - PER QUAD	D4210	$769.22	$600.00	$169.22
OSSEOUS SURGERY (4+)	D4260	$895.30	$750.00	$145.30

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