The sample table below is a small selection of common procedures, showing negotiated savings through the Access Dental Network. Discounts will vary by geographic region. Select your state below to access a complete fee schedule with discounted fees for nearly every dental procedure. If you need assistance in viewing your Access Dental Network fee schedule, please contact our Customer Care Center toll-free at 888-544-8708 with the ADA Code of the procedure and we can provide the discounted fee.
| Procedure Description | Usual Fee* | Discounted Fee** (for Plan Members) |
Member Savings* |
|---|---|---|---|
| Routine 6 Month Check-Up | $44 |
$34 |
22.7% |
| In Depth Check-Up | $80 |
$40 |
50.0% |
| Full Mouth X-Rays | $110 |
$80 |
27.3% |
| Four Bitewing X-Rays | $56 |
$40 |
28.6% |
| Panoramic Film | $95 |
$65 |
31.6% |
| Adult Teeth Cleaning | $80 |
$50 |
37.5% |
| Child Teeth Cleaning | $60 |
$42 |
30.0% |
| Protective Sealant / Tooth | $47 |
$32 |
31.9% |
| 1 Surface White Filling for U or L Front Tooth | $140 |
$80 |
42.9% |
| Single Crown - Porcelain on High Noble Metal | $950 |
$645 |
32.1% |
| Single Crown - Porcelain on Noble Metal | $932 |
$637 |
31.7% |
| Core Build-Up With Pins | $243 |
$200 |
17.7% |
| Root Canal Treatment - Front Tooth | $614 |
$415 |
32.4% |
| Root Canal Treatment - Bicuspid | $725 |
$492 |
32.1% |
| Root Canal Treatment - Molar | $880 |
$670 |
23.9% |
| Perio Scaling and Root Planing (Per Quadrant) | $220 |
$135 |
38.6% |
| Full Upper Denture | $1,500 |
$875 |
41.7% |
| Single Tooth Removal - Simple Extraction | $145 |
$80 |
44.8% |
Consumers who have access to the Access Dental Network and visit a participating specialist receive a flat 15-20% discount off specialists' usual and customary fees (Minnesota specialist fees are 15%. All other states are 20%). This includes a 15-20% discount at:
*Dental savings are based on Access Dental Network's 202 Series Dental Fee Schedule for participating general dentists(fees vary by region) compared to the 2013 National Dental Advisory Service National Average (Average savings 34%). Discounts will vary by geographic region. Access Dental Network's participating specialty dentists provide a discount of 20% off their normal retail charges (15% for MN specialty dentists).
**Discounted fees are listed for visits to a participating general dentist. Any procedure not covered on the complete fee schedule will be discounted 20% off the provider's usual and customary fee. Consult with your provider prior to beginning any treatment. Lab fees are additional.