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Dental Plans-Fee Schedule-Teal

Dental Plans Reduced Fee Schedule Most Utilized In CA, CT, IN, KY, MD, MA, NV, NJ, OH, PA, UT, VA, DC and WI. Dental Service Payments Are Due At Time Service Is Rendered.

Dental Plans Include Prescription Drug Discounts

Prescription Drugs

Save up to 50% on most generic prescription drugs
Save up to 25% on most brand-name prescription drugs

Dental Plans Include Vision Care Discounts

Save from 20% to 60% on all frames, lenses, tints, scratch-resistant coatings and ultra-violet protection.

Dental Plans Include Chiropractic Care Discounts

Chiropractic Care

FREE initial consultation
50% savings on all diagnostic services
50% on all required x-rays

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Dentist Visit

The average savings on the most utilized dental procedures stated in the example above are only a sample from the dental plan fee schedule that each network dentist has agreed to honor for members. The discounts represent a reduction on a treatment or percentage basis of the usual and customary fees charged by the dentists for a specific treatment.

EXAMPLE OF SAVINGS ON THE MOST UTILIZED DENTAL PROCEDURES

TEAL Dental Plan Fee Schedule

Sample General Dentist Procedures *

Dental Office Fees
Up To:

Dental Plan

Fees

Dental Plan

Savings

Initial Dental Exam

$100

$32

68%

Periodic Dental Exam

$60

$12

80%

Dental X-Rays

Intraoral Complete Series

$122

$50

59%

Panoramic

$110

$50

55%

Regular Teeth Cleaning (Light Scalling & Polishing)

$95

$42

56%

Deep Teeth Cleaning (Full Mouth Debridement/Removal of heavy tartar buildup)

$215

$75

65%

Amalgam Filling (Silver Colored)

1 Surface - Primary or Permanent

$130

$60

54%

2 Surfaces - Primary or Permanent

$160

$70

56%

Composite Filling (Tooth Colored)

1 Surface (Anterior)

$150

$72

52%

2 Surfaces (Anterior)

$190

$88

54%

Root Canal (Excluding final restoration)

Anterior

$690

$325

53%

Bicuspid

$800

$375

53%

Porcelain Crown

w/High Noble Metal

$1050

$515

51%

Orthodontic Treatment* (Braces) by General Dentist

Children (under Age 19)

$5000

$2100

58%

Adults (19 and over)

$5500

$2250

59%

National Dental Advisory Service 2003
Dental Economics, Annual Dental Fee Survey 2003
*Invisalign Braces may not be included.

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Dental Plan Fee Schedule Generally Used In Your Area

Keep in mind that some states use more than one dental plan fee schedule. By using the "Find A Provider" feature, you can see the actual fee schedule used by a particular dental care provider in your area.

Fee Schedule

Arizona, Colorado, Florida, Hawaii, Illinois, Tennessee

Lime

Fee Schedule

Alabama, Arkansas, Delaware, Georgia, Idaho, Iowa, Kansas, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, New Hampshire, New Mexico, New York, North Carolina, Oklahoma, Oregon, Rhode Island, South Carolina, Texas, Washington, West Virginia

Teal

Fee Schedule

California, Connecticut, Indiana, Kentucky, Maryland, Massachusetts, Nevada, New Jersey, Ohio, Pennsylvania, Utah, Virginia, Washington D C, Wisconsin

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Dental Plans-Savings Up To 80% From Dental Plan Providers. Dental Plans Include Vision, Chiropractic, Prescription Drugs.

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Dental Plans Offered At Dental-Health-With-A-Vision.com Are Not Dental Insurance

Discount Dental Plans offered are not health or dental insurance. Plans offered provide discounts at certain dental or medical providers for healthcare services. Plans offered do not make payments directly to the providers of healthcare. The plan member is obligated to pay for all dental or healthcare services at the time of service but will receive a discount from those dental or medical healthcare providers who have contracted with the Discount Medical Plan Organization.

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