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The
Plan
The plan is simple and affordable. There are no
claim forms to complete, no pre-authorizations,
and no waiting periods. Members are issued a membership
card immediately upon enrollment with the Dental
Care-50 dentist of their choice. If for any reason
a member is unhappy with the dentist, they are free
to choose another dentist on the plan.
General Dentristry
Members receive a yearly oral exam, cancer check
and cleaning for only $42 (approx. a $125 value).
This savings alone pays for the low annual fee of
$65 per individual or $110 per couple. All additional
work is completed at a 20 - 40% discount, when performed
by a Dental Care-50 general dentist. Services provided
by a specialist are discounted 20%. Everything is
covered, including pre-existing conditions and dentures!
A pre-set fee schedule is provided to members, so
the cost of each specific dental procedure (and
the savings) is known before any work is done. Everything
is covered including pre-existing conditions and
dentures. Any procedure relative to treatment not
listed on this schedule will be discounted at 20%
off your general providers’s customary fee.
Specialists
Specialists in our network do not follow the pricing
outlined in this schedule, but perform services
for 20% off their usual and customary fees to Dental
Care 50 members.
Note
About Dentures
The price of dentures does not include extractions
or relines. One office visit is included for any
adjustment needed. Additional adjustments will be
charged. at $23 per visit.
Root Canals
Depending on diagnosis, root canals will be performed
by either your general dentist or a specialist at
a minimum discount of 20%.
The intial cleaning is $42. Additional cleanings
within the same year are 20% off the usual and customary
dentists’ fee.
|
| DC-50
Member Prices |
|
|
| Procedure |
Member
Fees |
2009
Typical Fees |
| Diagnostic/
Preventive |
|
|
|
Consultation |
N/C |
$64
|
| Oral
Exam |
N/C |
$66 |
| Oral
Cancer Screening |
N/C |
$77 |
| Prophylaxis
(cleaning) |
$42 |
$86 |
| Periapical
X-rays |
$12 |
$26 |
| Bitewing
X-rays |
$12 |
$44 |
| |
|
|
| Oral
Hygiene |
|
|
| Instruction |
N/C |
$45 |
| Flouride
Treatment |
N/C |
$33 |
| Post-Op
Treatment |
N/C |
$45 |
| |
|
|
Emergency
visit
(during office hours, excludes treatment) |
$35 |
$88 |
| |
|
|
| X-ray,
Full Mouth |
$60 |
$125 |
| Panoramic
Film |
$55 |
$96 |
| |
|
|
| Local
Anesthetic |
N/C |
$14 |
| |
|
|
| Deep
Cleaning - Periodontics |
|
|
| Scaling/Root
Planning (Per Quadrant) |
$115 |
$205 |
| Full
Mouth Debridement |
$72 |
$161 |
| |
|
|
| Extractions |
|
|
| Single
Tooth |
$85 |
$121 |
| Each
Additional |
$65 |
$95 |
| Surgical
Extraction Periodontics |
$115 |
$155 |
| |
|
|
| Fillings |
|
|
| Silver
Colored (Amalgam) |
|
|
| Amalgam,
1 Surface |
$68 |
$120 |
| Amalgam,
2 Surface |
$86 |
$155 |
Amalgam,
3 Surface |
$109 |
$181 |
| |
|
|
| White
or Tooth Colored (Composite) |
|
|
| Front
Teeth |
|
|
| Composite,
1 Surface |
$79 |
$131 |
| Composite,
2 Surface |
$94 |
$155 |
| Composite,
3 Surface |
$120 |
$170 |
| Composite,
4 Surface |
$145 |
$195 |
| Back
Teeth |
|
|
| Composite,
1 Surface/Post |
$87 |
$153 |
| Composite,
2 Surface/Post |
$110 |
$175 |
| Composite,
3 Surface/Post |
$87 |
$153 |
| |
|
|
| Crowns |
|
|
| All
Porcelain/Ceramic |
$675 |
$1008 |
| Temp
(With Crown) |
N/C |
N/C |
| Recement
Crown/Inlay |
$41 |
$99 |
| Porcelain/Metal |
$570 |
$980 |
| Full
Metal |
$570 |
$980 |
| Full
Gold (Add current gold price) |
$640 |
$951 |
| Cast
Post and Core |
$175 |
$325 |
| |
|
|
| Dentures |
|
|
| Complete
Upper |
$650 |
$1250 |
| Complete
Lower |
$650 |
$1250 |
| Immediate
Upper |
$725 |
$1356 |
| Immediate
Lower |
$725 |
$1356 |
| Upper
Cast Partial |
$700 |
$1298 |
| Lower
Cast Partial |
$700 |
$1340 |
| Denture
Relines |
$190 |
$290 |
| Dental
Adjustments (Once) |
N/C |
$40 |
| Recement
Bridge |
$62 |
$125 |
| Additional
Adjustments |
$30 |
$50 |
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