Adina C Jucan

Procedure Type: Routine Dental Fees Root Canals Tooth Extractions Orthodontics and Braces Pedodontic Dental Fees Crowns and Implants Dentures and Bridges	Routine 6 month check-up	In depth check-up	Full mouth x-rays	Four bitewing x-rays	Panoramic film	Adult teeth cleaning	Child teeth cleaning	Protective sealant / tooth	1 surface silver filling for primary or permanent tooth	1 surface white filling for u or l front tooth	Single crown - porcelain on high noble metal	Single crown - porcelain on noble metal	Core build-up with pins	Labial veneer (resin laminate) - direct	Labial veneer (porcelain laminate) - indirect	Root canal treatment - front tooth	Root canal treatment - bicuspid	Root canal treatment - molar	Bone replacement graft - retained natural tooth - first site in quadrant	Perio scaling and root planing (per quadrant)	Regular cleaning following periodontic procedure	Full upper denture	Full lower denture	Add clasp to existing partial denture	Surgical placement of implant body: endosteal implant	Abutment supported cast metal crown (predominantly base metal)	Implant supported crown high noble alloys	Tooth replacement part of permanent bridge	Single tooth removal - simple extraction	Extraction - impacted wisdom tooth (soft tissue)	Extraction - impacted wisdom tooth (partial bony)	Comprehensive orthodontic treatment of the transitional dentition	Full orthodontic child treatment (braces)	Full orthodontic adult treatment (braces)	External bleaching – per arch – performed in office	External bleaching - per tooth	Internal bleaching - per tooth	Price Per Year
Average CostWITHOUT a Plan	$40.00	$80.00	$136.00	$72.00	$115.00	$86.00	$65.00	$54.00	$130.00	$150.00	$1,125.00	$1,100.00	$270.00	$375.00	$1,200.00	$848.00	$1,015.00	$1,250.00	$688.00	$252.00	$136.00	$1,665.00	$1,400.00	$214.00	$1,961.00	$1,388.00	$1,260.00	$1,103.00	$195.00	$365.00	$422.00	$5,562.00	$5,658.00	$5,936.00	$242.00	$185.00	$253.00
Sample Discounts for Plan Members
CignaPlus Savings	$21.00	$31.00	$60.00	$27.00	$47.00	$47.00	$32.00	$27.00	$47.00	$61.00	$546.00	$501.00	$91.00	$234.00	$376.00	$316.00	$369.00	$498.00	$196.00	$101.00	$76.00	$716.00	$716.00	$102.00	$1,780.00	$538.00	$704.00	$515.00	$56.00	$139.00	$187.00	20% Off	20% Off	20% Off	20% Off	$143.00	20% Off	Individual $174.95$157.46 JOIN Family $209.95$188.96 JOIN
Alliance HealthCard Savings Card	$21.00	$31.00	$60.00	$27.00	$47.00	$47.00	$32.00	$27.00	$47.00	$61.00	$546.00	$501.00	$91.00	$234.00	$376.00	$316.00	$369.00	$498.00	$196.00	$101.00	$76.00	$716.00	$716.00	$102.00	$1,780.00	$538.00	$704.00	$515.00	$56.00	$139.00	$187.00	20% Off	20% Off	20% Off	20% Off	$143.00	20% Off	Individual $174.95$157.46 JOIN Family $209.95$188.96 JOIN
Preferred Network Access by CIGNA	$21.00	$31.00	$60.00	$27.00	$47.00	$47.00	$32.00	$27.00	$47.00	$61.00	$546.00	$501.00	$91.00	$234.00	$376.00	$316.00	$369.00	$498.00	$196.00	$101.00	$76.00	$716.00	$716.00	$102.00	$1,780.00	$538.00	$704.00	$515.00	$56.00	$139.00	$187.00	20% Off	20% Off	20% Off	20% Off	$143.00	20% Off	Individual $144.95$130.46 JOIN Family $199.95$179.96 JOIN

The sample table above is a small selection of common procedures discounted by these discount dental plans and programs. Once you're a member, you will be provided with a complete fee schedule (applicable for most plans) with discounted fees for nearly every dental procedure. The procedures discounted under these plans and programs offer similar savings to the sample above. If you are looking for a specific dental procedure that is not on this sample, please contact our Customer Care Center toll-free at 866.459.4238 with the ADA Code of the procedure and we can provide the discounted fee.

Fee schedules and savings may vary by ZIP code and by Provider within a ZIP code.

The dental provider listings are provided directly from each dental network or discount dental plan, which are responsible for their accuracy and completeness. These listings are updated on a regular basis, and every effort has been made to ensure that only participating active providers are listed. We strongly recommend that you confirm that a provider is currently participating before you receive any services from that provider.

Discounted fees listed under "Routine Dental Fees", "Fillings & Crowns" and “Root Canals, Perio & Dentures” tabs are for participating General Dentists. Consult with your provider prior to beginning any treatment.