Premier Option
Benefits members save 20% to 50% on most routine dental
services at over 19,000 providers nationwide. These services include
procedures such as cleanings, x-rays and fillings, as well as specialty care such as
orthodontics, periodontics and endodontics. The chart below illustrates the
substantial savings offered by this valuable plan.
|
| EXAMPLE OF SAVINGS |
| Procedure |
Avg. Fee |
POB |
$ Savings |
% of Savings |
| Diagnostic- |
|
|
|
|
| Periodic
Oral Evaluation |
$35 |
$15 |
$20 |
57% |
| Extraoral-First
Film |
$48 |
$17 |
$31 |
64% |
| Intraoral-Periapical-First
Film |
$20 |
$9 |
$11 |
55% |
| Preventative- |
|
|
|
|
| Prophylaxis
– Child |
$50 |
$23 |
$27 |
54% |
| Prophylaxis
– Adult |
$65 |
$37 |
$28 |
43% |
| Restorative- |
|
|
|
|
| Amalgam
– One Surface, Permanent |
$90 |
$43 |
$47 |
52% |
| Amalgam
– Two Surfaces, Permanent |
$110 |
$53 |
$57 |
52% |
| Amalgam
– Four Surfaces, Permanent |
$160 |
$82 |
$78 |
49% |
| Comprehensive
Orthodontic Treatment- |
|
|
|
|
| Adolescent
Dentition (Braces) |
$4308 |
$2470 |
$1838 |
43% |
| Denture- |
|
|
|
|
| Complete
Maxillary |
$1100 |
$563 |
$537 |
49% |
| Complete
Mandibular |
$1100 |
$563 |
$537 |
49% |
| Extraction- |
|
|
|
|
| Single
Tooth |
$100 |
$59 |
$41 |
41% |
| Endodontics- |
|
|
|
|
| Root
Canal – Anterior (excluding final restoration) |
$489 |
$258 |
$231 |
47% |
| Root
Canal – Molar (excluding final restoration) |
$689 |
$374 |
$315 |
46% |
| Periodontics- |
|
|
|
|
| Perio
Scaling and Root Planning – Per Quadrant |
$183 |
$96 |
$87 |
48% |
|
|
|
|
|
|
|
| This
savings example is an abbreviated list of most common procedures. Actual cost and
savings may vary by region and provider network. Prices and provider participation
status are subject to change without notice. Discounts are not available on lab fees
or on professional services where prohibited by law. |
|
NUMBER OF PARTICIPATING PROVIDERS PER STATE
|
