Sample
Savings
|
Product/Service
|
Average
Cost *
|
CI-5
Schedule Price
|
Total
Savings
|
|
Adult
Cleaning
|
$82
|
$52
|
$30
|
|
Child
Cleaning
|
$49
|
$37
|
$12
|
|
Routine
Checkup
|
$39
|
$27
|
$12
|
|
Four
Bitewing X-rays
|
$51
|
$31
|
$20
|
|
Composite
(White) Filling
|
$131
|
$76
|
$55
|
|
Crown
(porcelain
fused to noble metal)
|
$843
|
$584
|
$259
|
|
Complete
Upper Denture
|
$940
|
$763
|
$177
|
|
Molar
Root Canal
|
$826
|
$581
|
$245
|
|
Extraction
(single tooth)
|
$119
|
$70
|
$49
|