What You Get

The Best Dental Insurance

Checkmark No Deductible Checkmark Works At Any Dentist*
Checkmark Affordable Checkmark Next Day Coverage*
Checkmark Get $200 for Cleanings Every Year*
* Read FAQ | Estimate Benefits | View Brochure

Get Cash!

Know how much insurance will pay ahead of time.
Leave the guessing game to others. Get a set cash amount per procedure. If your bill is less, you keep the change!

See Your Cash Benefits Max Yearly Per Person: $1,000 | Plus Major Upgrade Yearly Max: $1,500

Select How Long You've Had The Plan

Less Than 1 YearMore Than 1 Year
Basic / Plus Major Benefits double after 1 year
Dental Wellness Max $100 Per Visit Per Person Twice a Year (at least 5 months apart)
Dental Code Dental Procedure (Click to Add) Cash You Get
00120 Periodic oral evaluation $100.00
00140 Limited oral evaluation - problem focused $100.00
00150 Comprehensive Oral Exam - new or established patient $100.00
00160 Detailed and extensive oral evaluation - problem focused, by report $100.00
00210 Intraoral - complete series (including bitewings) $100.00
00220 Intraoral - periapical first film $100.00
00230 Intraoral - periapical each additional film $100.00
00240 Intraoral - occlusal film $100.00
00250 Extraoral - first film $100.00
00260 Extraoral - each additional film $100.00
00270 Bitewing - single film $100.00
00272 Bitewings - two films $100.00
00274 Bitewings - four films $100.00
00330 Panoramic film $100.00
00340 Cephalometric film $100.00
00415 Bacteriologic studies for determination of pathologic agents $100.00
00460 Pulp vitality tests $100.00
00470 Diagnostic casts $100.00
00471 Diagnostic photographs $100.00
00501 Histopathologic Examinations $100.00
09310 Consultation (diagnostic service provided by Dentist or physician other than practitioner) $100.00
01110 Prophylaxis - adult $100.00
01120 Prophylaxis - child $100.00
01201 Topical application of fluoride (including prophylaxis) - child $100.00
01203 Topical application of fluoride (prophylaxis not included) - child $100.00
01204 Topical application of fluoride (prophylaxis not included) - adult $100.00
01205 Topical application of fluoride (including prophylaxis) - adult $100.00
01351 Sealant - per tooth $100.00
01510 Space maintainer - fixed - unilateral $100.00
01515 Space maintainer - fixed - bilateral $100.00
01520 Space maintainer - removable - unilateral $100.00
01525 Space maintainer - removable - bilateral $100.00
01550 Re-cementation of space maintainer $100.00
Anesthesia / Pain
Dental Code Dental Procedure (Click to Add) Cash You Get
09110 Palliative (emergency) treatment of dental pain - minor procedure $70.00
09220 Deep sedation/general anesthesia - first 30 minutes $275.00
09221 Deep sedation/general anesthesia - each additional 15 minutes $100.00
Basic Restorative Fillings
Dental Code Dental Procedure (Click to Add) Cash You Get
02140 Amalgam - one surface, primary or permanent $90.00
02150 Amalgam - two surfaces - primary or permanent $110.00
02160 Amalgam - three surfaces - primary or permanent $140.00
02161 Amalgam - four or more surfaces, primary or permanent $160.00
02330 Resin-based composite - one surface, anterior $110.00
02331 Resin-based composite - two surface, anterior $140.00
02332 Resin-based composite - three surfaces, anterior $160.00
02335 Resin-based composite - four or more surfaces or involving incisal angle $190.00
02336 Resin-based composite crown (anterior-primary) $190.00
02391 Resin-based composite - one surface, posterior - permanent or primary $120.00
02392 Resin-based composite - two surfaces, posterior - permanent or primary $150.00
02393 Resin-based composite - three surfaces, posterior - permanent or primary $190.00
02394 Resin-based composite - four or more surfaces, posterior $225.00
02410 Gold foil - one surface $100.00
02420 Gold foil - two surfaces $375.00
05410 Palliative (emergency) treatment of dental pain - minor procedure $55.00
05411 Adjust complete denture - mandibular $55.00
05421 Adjust partial denture - maxillary $55.00
05422 Adjust partial denture - mandibular $55.00
Simple Extractions
Dental Code Dental Procedure (Click to Add) Cash You Get
07111 Coronal re-cement - deciduous tooth $80.00
07140 Extraction, erupted tooth or exposed root (elevation and/or forceps removal) $100.00
Prosthodontics - Adjustments and Repairs
Dental Code Dental Procedure (Click to Add) Cash You Get
05510 Repair broken complete denture base $120.00
05520 Replace missing or broken teeth - complete denture (each tooth) $100.00
05610 Repair resin denture base $120.00
05620 Repair cast framework $150.00
05630 Repair or replace broken clasp $150.00
05640 Replace broken teeth - per tooth $100.00
05650 Add tooth to existing partial denture $120.00
05660 Add clasp to existing partial denture $150.00
05670 Replace all teeth and acrylic on cast metal framework (maxillary) $350.00
05671 Replace all teeth and acrylic on cast metal framework (mandibular) $350.00
05710 Rebase complete maxillary denture $350.00
05711 Rebase complete mandibular denture $350.00
05720 Rebase maxillary partial denture $350.00
05721 Rebase mandibular partial denture $350.00
05730 Reline complete maxillary denture (chairside) $200.00
05731 Reline complete mandibular denture (chairside) $200.00
05740 Reline maxillary partial denture (chairside) $200.00
05741 Reline mandibular partial denture (chairside) $200.00
05750 Reline complete maxillary denture (laboratory) $300.00
05751 Reline complete mandibular denture (laboratory) $300.00
05760 Reline maxillary partial denture (laboratory) $300.00
05761 Reline mandibular partial denture (laboratory) $300.00
05850 Tissue conditioning, maxillary $100.00
05851 Tissue conditioning, mandibular $100.00
06930 Re-cement fixed partial denture $100.00
Major Restorative - Inlay / Onlay Plus Major Upgrade Required | Available After 6 Months
Dental Code Dental Procedure (Click to Add) Cash You Get
02510 Inlay - metallic - one surface $280.00
02520 Inlay - metallic - two surfaces $330.00
02530 Inlay - metallic - three or more surfaces $375.00
02543 Onlay - metallic - three surfaces $375.00
02544 Onlay - metallic - four or more surfaces $375.00
02610 Inlay - porcelain/ceramic - one surface $350.00
02620 Inlay - porcelain/ceramic - two surfaces $350.00
02630 Inlay - porcelain/ceramic - three or more surfaces $375.00
02642 Onlay - porcelain/ceramic - two surfaces $375.00
02643 Onlay - porcelain/ceramic - three surfaces $375.00
02644 Onlay - porcelain/ceramic - four or more surfaces $375.00
02650 Inlay - resin-based composite - one surface $225.00
02651 Inlay - resin based composite - two surfaces $260.00
02662 Onlay - resin based composite - two surfaces $240.00
02663 Onlay - resin based composite - three surfaces $280.00
02910 Re-cement inlay $40.00
02940 Sedative Filling $40.00
02951 Pin retention - per tooth, in addition to restoration $20.00
02710 Crown - resin laboratory $190.00
Major Restorative - Crowns Plus Major Upgrade Required | Available After 6 Months
Dental Code Dental Procedure (Click to Add) Cash You Get
02720 Crown - resin with high noble metal $450.00
02721 Crown - resin with predominantly base metal $450.00
02722 Crown - resin with noble metal $450.00
02740 Crown - porcelain/ceramic substrate $450.00
02750 Crown - porcelain fused to high noble metal $450.00
02751 Crown - porcelain fused to predominantly base metal $450.00
02752 Crown - porcelain fused to noble metal $450.00
02780 Crown - 3/4 case high noble metal $450.00
02781 Crown - 3/4 case predominantly base metal $450.00
02782 Crown - 3/4 cast noble metal $450.00
02790 Crown - Porcelain $450.00
02791 Crown - full cast predominantly base metal $450.00
02792 Crown - full cast noble metal $450.00
02810 Crown - 3/4 cast metallic $450.00
02920 Re-cement crown $40.00
02930 Prefabricated stainless steel crown - primary tooth $110.00
02931 Prefabricated stainless steel crown - permanent tooth $125.00
02932 Prefabricated resin crown $140.00
02933 Prefabricated stainless steel crown with resin window $150.00
02940 Sedative filling $40.00
02950 Core buildup, including any pins $100.00
02952 Cast post and core in addition to crown $150.00
02954 Prefabricated post and core in addition to crown $135.00
02970 Temporary crown (fractured tooth) $95.00
03110 Pulp cap - direct (excluding final restoration) $30.00
03120 Pulp cap - indirect (excluding final restoration) $30.00
03220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction and application of medication $70.00
Endodontics Plus Major Upgrade Required | Available After 6 Months
Dental Code Dental Procedure (Click to Add) Cash You Get
03310 Anterior (excluding final restoration) $125.00
03320 Root Canal - Bicuspid (excluding final restoration) $300.00
03330 Root Canal - Molar (excluding final restoration) $375.00
03346 Retreatment of previous root canal therapy - anterior $125.00
03347 Retreatment of previous root canal therapy - bicuspid $250.00
03348 Retreatment of previous root canal therapy - molar $400.00
03410 Apicoectomy/periradicular surgery - anterior $175.00
03421 Apicoectomy/periradicular surgery - bicuspid (first root) $300.00
03425 Apicoectomy/periradicular surgery - molar (first root) $350.00
03426 Apicoectomy/periradicular surgery - (each additional root) $145.00
03430 Retrograde filling - per root $105.00
03450 Root amputation - per root $200.00
03920 Hemisection (including any root removal), not including root canal therapy) $150.00
00180 Comprehensive periodontal evaluation - new or established patient $30.00
04210 Gingivectomy or gingivoplasty - four or more contiguous teeth or bounded teeth spaces per quadrant $165.00
04211 Gingivectomy or gingivoplasty - one to three teeth - per quadrant $65.00
04240 Gingival flap procedure, including root planning - four or more contiguous teeth or bounded teeth spaces per quadrant $275.00
Periodontics Plus Major Upgrade Required | Available After 6 Months
Dental Code Dental Procedure (Click to Add) Cash You Get
04249 Clinical crown lengthening - hard tissue $300.00
04260 Osseous surgery (including flap entry and closure) - four or more contiguous teeth or bounded teeth spaces per quadrant $325.00
04261 Osseous surgery (including flap entry and closure) - one to three teeth, per quadrant $200.00
04263 Bone replacement graft - first site in quadrant $150.00
04264 Bone replacement graft - each additional site in quadrant $75.00
04270 Pedicle soft tissue graft procedure $300.00
04271 Free soft tissue graft procedure (including donor site surgery) $300.00
04341 Periodontal scaling and root planning - four or more contiguous teeth or bounded teeth spaces per quadrant $95.00
04355 Full mouth debridement to enable comprehensive evaluation and diagnosis $65.00
04910 Periodontal maintenance $60.00
05110 Complete denture - maxillary $375.00
05120 Complete denture - mandibular $375.00
05130 Immediate denture - maxillary $400.00
05140 Immediate denture - mandibular $400.00
Prosthodontics - Removable Plus Major Upgrade Required | Available After 6 Months
Dental Code Dental Procedure (Click to Add) Cash You Get
05211 Maxillary partial denture - resin base (including any conventional clasps, rests, and teeth) $375.00
05212 Mandibular partial denture - resin base (including any conventional clasps, rests, and teeth) $375.00
05213 Maxillary partial denture - cast metal framework with resin denture bases (including any conventional clasps, rests, and teeth) $400.00
05214 Mandibular partial denture - cast metal framework with resin denture bases (including any conventional clasps, rests, and teeth) $400.00
05281 Removable unilateral partial denture - one piece cast metal (including clasps and teeth) $175.00
06210 Pontic - cast high noble metal $375.00
06211 Pontic - cast predominantly base metal $375.00
06212 Pontic - cast noble metal $375.00
06240 Pontic - porcelain fused to high noble metal $375.00
Prosthodontics - Fixed Plus Major Upgrade Required | Available After 6 Months
Dental Code Dental Procedure (Click to Add) Cash You Get
06241 Pontic - porcelain fused to predominantly base metal $375.00
06242 Pontic - porcelain fused to noble metal $375.00
06250 Pontic - resin with high noble metal $375.00
06251 Pontic - resin with predominantly base metal $375.00
06252 Pontic - with noble metal $375.00
06545 Retainer - cast metal for resin bonded fixed prosthesis $175.00
06602 Inlay - cast high noble metal, two surfaces $375.00
06603 Inlay - cast high noble metal, three or more surfaces $375.00
06604 Inlay - cast predominantly base metal, two surfaces $375.00
06605 Inlay - cast predominantly base metal, three or more surfaces $375.00
06606 Inlay - cast noble metal, two surfaces $375.00
06607 Inlay - cast noble metal three or more surfaces $375.00
06610 Onlay - cast high noble metal, two surfaces $375.00
06611 Onlay - cast high noble metal, three or more surfaces $375.00
06612 Onlay - cast predominantly base metal, two surfaces $375.00
06613 Onlay - cast predominantly base metal, three or more surfaces $375.00
06614 Onlay - cast noble metal, two surfaces $375.00
06615 Onlay - cast noble metal, three or more surfaces $375.00
06720 Crown - resin with high noble metal $375.00
06721 Crown - resin with predominantly base metal $375.00
06722 Crown - resin with noble metal $375.00
06740 Crown - porcelain/ceramic $375.00
06750 Crown - porcelain fused to high noble metal $375.00
06751 Crown - porcelain fused to predominantly base metal $375.00
06752 Crown - porcelain fused to noble metal $375.00
06780 Crown - 3/4 cast high noble metal $375.00
06781 Crown - 3/4 cast predominantly base metal $375.00
06782 Crown - 3/4 cast noble metal $375.00
06783 Crown - 3/4 cast porcelain/ceramic $375.00
06790 Crown - full cast high noble metal $375.00
06791 Crown - full cast predominantly base metal $375.00
06792 Crown - full cast noble metal $375.00
07210 Surgical removal of erupted tooth requiring elevation of mucoperiosteal flap and removal of bone and/or section of tooth $95.00
07220 Removal of impacted tooth - soft tissue $120.00
07230 Removal of impacted tooth - partially bony $160.00
07240 Removal of impacted tooth - completely bony $185.00
Oral Surgery Plus Major Upgrade Required | Available After 6 Months
Dental Code Dental Procedure (Click to Add) Cash You Get
07241 Removal of impacted tooth - completely bony, with unusual surgical complications $200.00
07250 Surgical removal of residual tooth roots (cutting procedure) $100.00
07260 Oroantral fistula closure $800.00
07270 Tooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth $200.00
07280 Surgical access of unerupted tooth $200.00
07281 Surgical exposure of impacted or unerupted tooth to aid eruption $165.00
07285 Biopsy of oral tissue - hard (bone, tooth) $325.00
07286 Biopsy of oral tissue - soft (all others) $165.00
07310 Alveoloplasty in conjunction with extractions - per quadrant $110.00
07320 Alveoloplasty not in conjunction with extractions - per quadrant $400.00
07340 Vestibuloplasty - ridge extension (secondary epithelialization) $750.00
07350 Vestibuloplasty - ridge extension (including soft tissue grafts, muscle reattachment, revision of soft tissue attachments and management of hypertrophied tissue) $1000.00
07410 Excision of benign lesion up to 1.25 cm $165.00
07411 Excision of benign lesion greater than 1.25 cm $500.00
07413 Excision of malignant lesion up to 1.25 cm $165.00
07414 Excision of malignant lesion greater than 1.25 cm $550.00
07450 Removal of benign odontogenic cyst or tumor - lesion diameter up to 1.25 cm $165.00
07451 Removal of benign odontogenic cyst or tumor - lesion diameter greater than 1.25 cm $500.00
07460 Removal of benign nonodontogenic cyst or tumor - lesion diameter up to 1.25 cm $325.00
07461 Removal of benign nonodontogenic cyst or tumor - lesion diameter greater 1.25 cm $500.00
07471 Removal of lateral exostosis (maxilla or mandible) $225.00
07510 Incision and drainage of abscess - intraoral soft tissue $100.00
07520 Incision and drainage of abscess - extraoral soft tissue $450.00
07530 Removal of foreign body from mucosa, skin, or subcutaneous alveolar tissue $165.00
07540 Removal of reaction producing foreign bodies, musculoskeletal system $200.00
07550 Partial ostectomy/sequestrectomy for removal of non-vital bone $125.00
07560 Maxillary sinusotomy for removal of tooth fragment or foreign body $825.00
07960 Frenulectomy (frenectomy or frenotomy) - separate procedure $20.00
07970 Excision of hyperplastic tissue - per arc $200.00
07971 Excision of pericoronal gingival $75.00
07972 Surgical reduction of fibrous tuberosity $250.00
07980 Sialodochoplasty $275.00

$000.00

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