Included Dental Services:
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* Not currently available in the states of AK, MT, SD, and VT
Dental Discount Sample Savings
Diagnostics |
Average Fee |
You Pay |
Amount Saved |
Periodic Oral Exam |
$45 |
$35 |
$10 |
Comprehensive Oral Evaluation |
$73 |
$58 |
$15 |
X-ray, Bitewing, 4 films |
$59 |
$45 |
$14 |
Panoramic Film |
$119 |
$86 |
$33 |
Preventive |
Average Fee |
You Pay |
Amount Saved |
Prophylaxis – adult (Cleaning) |
$80 |
$62 |
$18 |
Prophylaxis – child (Cleaning) |
$60 |
$47 |
$13 |
Application of Sealant – per tooth |
$47 |
$37 |
$10 |
Restorative |
Average Fee |
You Pay |
Amount Saved |
Resin – 2 surfaces, anterior |
$175 |
$112 |
$63 |
Resin – 2 surface posterior |
$206 |
$162 |
$44 |
Crown – Porcelain/ceramic |
$1,050 |
$869 |
$181 |
Crown – Porcelain fused to high noble metal |
$996 |
$870 |
$126 |
Re-cement Crown |
$104 |
$79 |
$25 |
Endodontics |
Average Fee |
You Pay |
Amount Saved |
Root canal – front tooth |
$730 |
$540 |
$190 |
Root canal – bicuspid |
$850 |
$666 |
$184 |
Root canal – molar |
$1,090 |
$838 |
$252 |
Periodontics |
Average Fee |
You Pay |
Amount Saved |
Periodontal Scaling and Root Planing – four or more contiguous teeth or bounded teeth, per quad |
$239 |
$195 |
$44 |
Periodontal Maintenance |
$139 |
$109 |
$30 |
Prosthodontics |
Average Fee |
You Pay |
Amount Saved |
Complete Denture – Maxillary |
$1,500 |
$1,262 |
$238 |
Complete Denture – Mandibular |
$1,552 |
$1,160 |
$392 |
Oral Surgery |
Average Fee |
You Pay |
Amount Saved |
Removal of Impacted Tooth – soft tissue |
$324 |
$238 |
$86 |
The sample above is small selection of common procedures discounted by a general dentist in the Dental Care Advantage program in the state of Wisconsin. Fee schedules subject to change. The average fees noted in column two above are based on information from the Fair Health Educational Site. Their fees are based on the 80th percentile of the provider’s charges for Wisconsin.