SAMPLE SAVINGS*     
CODEDESCRIPTIONTYPICAL PRICE*YOUR PRICEPLAN SAVINGS
D0120Routine exam$52.63$25.00$29.63(56%)
D0150Comprehensive exam$91.88$32.00$59.88(65%)
D0210Full mouth x-ray$134.69$53.00$81.69(61%)
D1110Cleaning - adult$93.66$43.00$50.66(54%)
D2330Filling - one surface, front tooth$167.70$67.00$100.70(60%)
D2750Crown - porcelain to high noble metal$1,150.68 $620.00$530.68(46%)
D3310Root canal - front tooth$822.42$350.00$472.42(57%)
D3330Root canal - back tooth$1,149.79 $505.00$644.79(56%)
D4341Periodontal scaling and root planing$264.92$112.00$152.92(58%)
D5110Denture - complete, upper$1,758.13 $730.00$1028.13(58%)
D7140Simple extraction$178.40$61.00$117.40(66%)
D8080Braces - comprehensive, adolescent$5,457.26 $4,000.00 $1457.26(27%)

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