Preventive
Office visit, cleaning, oral exam and x-rays100% after $22 co-pay.
2 visits in 12 months per member.
None
Basic
Simple extractions and fillings80% average savings
None
Major
Crowns, bridges, dentures, inlays, periodontics, and oral surgery50% average savings
None
Orthodontics
25% average discount at participating TDA Provider
None
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providers
25% discount on specialist services: Periodontist, Endodontist, Prosthodontist, Pediatrics and Oral Surgeon at In-Network providers.
TDA - Preferred Care Plan insured and underwritten by Total Dental Administrators. For complete fee schedule please refer to the plan certificate.
Payment Details
| Individual | $16.72 |
| Individual + 1 | $28.47 |
| Individual + 2 or more | $44.16 |
| A 10.00 Non Refundable administration fee will be added to your first months transaction. | |
All Plans allow Monthly payments by Visa, MasterCard, Discover or automatic bank account withdrawals.
Waiting Period
NoneDeductible
NoneAnnual Maximum
NonePreventive
Office visit, cleaning, oral exam and x-raysD0120 (Periodic Oral Exam) Plan Allows $25
D1110 (Prophylaxis - Adult) Plan Allows $56
No Deductible or Waiting Period on Preventative Services
Basic
Simple extractions and fillingsD2140 (Amalgam - One Surface Prim/Perm) Plan Allows at least $56
D3330 (Molar Root Canal) Plan Allows at least $310
Major
Crowns, bridges, dentures, inlays, periodontics, and oral surgeryD2752 (Crown - Porcelain Fused to Noble Metal) Plan Allows at least $309
D5120 (Complete Denture - Mandibular) Plan Allows at least $362
Orthodontics
25% discount at participating TDA Provider
No Out of Network Benefit
Enrolling in the dentalCOMPANION plan provides access to Value Added benefits such as Hearing, Vision, and Prescription Discounts!
dentalCOMPANION Plan is underwritten by Companion Life Insurance Company.
Payment Details
| Individual | $41.50 |
| Individual + 1 | $79.86 |
| Individual + 2 | $130.90 |
| A 10.00 Non Refundable administration fee will be added to your first months transaction. | |
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| Individual | $49.79 |
| Individual + 1 | $94.81 |
| Individual + 2 | $146.75 |
| A 10.00 Non Refundable administration fee will be added to your first months transaction. | |
All Plans allow Monthly payments by Visa, MasterCard, Discover or automatic bank account withdrawals.
Waiting Period
12 months on major servicesDeductible
$25 per subscriber per calendar year for basic and major servicesAnnual Maximum
$1,000 per subscriberPreventive
Office visit, cleaning, oral exam and x-rays| Service | Usual and Customary Fee* | Plan Fee | Savings |
| Oral Exam | $66 | $25 | $41 |
| Full Mouth X-Rays | $149 | $70 | $79 |
| Adult Cleaning | $104 | $56 | $48 |
Basic
Simple extractions and fillings| Service | Usual and Customary Fee* | Plan Fee | Savings |
| One Surface Filling | $200 | $65 | $135 |
Major
Crowns, bridges, dentures, inlays, periodontics, and oral surgery| Service | Usual and Customary Fee* | Plan Fee | Savings |
| Crowns | $900-$1500 | $650 | $205-$850 |
| Dentures | $2000-$3000 | $1650 | $350-$1350 |
Orthodontics
| Service | Usual and Customary Fee* | Plan Fee | Savings |
| Orthodontics (Braces) | $5500 | $4150 | $1350 |
For a complete list of services please see the fee schedule.
*Usual and Customary Fee are an average estimated cost
Payment Details
| Individual | $64 Annually |
| Individual + 1 | $94 Annually |
| Individual + 2 or more | $114 Annually |
Payments by Visa, MasterCard, Discover or automatic bank account withdrawals.