Savings Summary

Making Dentistry Affordable For Everyone Is What We Do

No insurance? No problem! SDC's Dental Savings Plan provides transparent savings so members know exactly what to expect when it comes to the price of their dental care. Members enjoy significant savings on dental care rendered at their affiliated provider's office, including preventive, basic, major, cosmetic, orthodontic and specialty dentistry.

SDC's Dental Savings Plan keeps it simple and features no waiting periods, exclusions or maximums.

ADA
Code
Description  Retail
Fee*
Member
Pays
Member
Savings**
PREVENTIVE
D0120 Periodic oral evaluation  $60.00 No Charge  100%
D0140 Limited oral evaluation - problem focused  $88.00 $66.00  25%
D0210 Intraoral - complete series of radiographic images  $154.00 $115.50  25%
D0272 Bitewings - two radiographic images  $53.00 No Charge  100%
D0274 Bitewings - four radiographic images  $76.00 No Charge  100%
D0330 Panoramic radiographic image  $130.00 $65.00  50%
D1110 Prophylaxis - adult  $106.00 $53.00  50%
D1120 Prophylaxis - child  $83.00 $41.50  50%
D1206 Topical application of fluoride varnish $50.00 No Charge  100%
D1351 Sealant - per tooth  $65.00 $48.75  25%
BASIC
D2330 Filling - one surface, anterior  $200.00 $150.00  25%
D2392 Filling - two surfaces, posterior  $270.00 $202.50  25%
D2332 Filling - three surfaces, anterior  $292.00 $219.00  25%
D2394 Filling - four or more surfaces, posterior  $395.00 $296.25  25%
D7140 Extraction - erupted tooth or exposed root $210.00 $157.50  25%
D2140 Amalgam - one surface  $214.00 $160.50  25%
D2161 Amalgam - four or more surfaces  $262.00 $196.50  25%
MAJOR
D2950 Core buildup  $310.00 $232.50  25%
D2740 Crown - porcelain/ceramic substrate  $1,325.00 $987.50  25%
D2750 Crown - porcelain fused to high noble metal  $1,312.00 $984.00  25%
D3220 Therapeutic pulpotomy - excluding final restoration  $237.00 $177.75  25%
D3310 Root canal - anterior  $875.00 $656.25  25%
D3330 Root canal - molar  $1,200.00 $900.00  25%
D5110 Complete denture - upper  $2,063.00 $1,547.25  25%
D5120 Complete denture - lower  $2,074.00 $1,555.50  25%
D6010 Endosteal implant - surgical  $2,298.00 $1,723.50  25%
D7210 Extraction - surgical removal  $325.00 $243.75  25%
COSMETIC
D2610 Inlay - porcelain/ceramic - one surface  $1,120.00 $840.00  25%
D2620 Inlay - porcelain/ceramic - two surfaces  $1,120.00 $840.00  25%
D2960 Veneer - resin laminate  $789.00 $591.75  25%
D2962 Veneer - porcelain laminate  $1,350.00 $1,01.25  25%
ORTHODONTICS
D8030 Limited ortho - child  $3,500.00 $2,625.00  25%
D8040 Limited ortho - adult  $3,874.00 $2,905.50  25%
D8080 Comprehensive ortho - child  $5,900.00 $4,425.00  25%
D8090 Comprehensive ortho - adult  $6,000.00 $4,500.00  25%

View Complete Member Savings.

* Retail Fee refers to the normal rates charges to uninsured patients for services rendered by the provider. Retail Fees and Member Savings vary by affiliated provider. Frequency limits of any free services also vary by affiliated provider. Plan savings and incentives are not available to patients whose dental care is covered by Medicaid. Please check with your affiliated provider prior to treatment.

** For this savings summary example, the Retail Fees and Member Savings are based on the 80th percentile of the 2016 National Dental Advisory Service Report, a nationwide comprehensive fee report widely used within the dental industry. Retail Fees and Member Savings vary by affiliated provider. Please check with your affiliated provider prior to treatment.

NOTE: if an affiliated provider facilitates your enrollment with SDC's Dental Savings Plan, your Member Savings are only available at the affiliated provider's office(s) that facilitated your plan enrollment.

Superior Dental Savings Plan


Superior dental plan"SDC's Dental Savings Plan is great for our family. We have always paid out-of-pocket for our dentistry needs, but now receive member-only savings on our dental care!"


Superior dental plan"We needed a dental plan that is affordable, easy-to-use and has significant real dollar savings. For only $8/month, my wife and I save hundreds of dollars per year at our dentist's office!"

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