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dental-plan

Sample Dental Savings

Product/Service
Select Regional Average Cost*

Discounted Fee

(for Plan Members)***

Member Savings


Adult Cleaning $82 $52 $30
Child Cleaning $49 $37 $12
Routine 6 Month Check-Up $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

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*Actual costs and savings vary by service and geographical area.

The discount program provides access to the Aetna Dental Access® network. This network is administered by Aetna Life Insurance Company (ALIC). Neither ALIC nor any of its affiliates offers or administers the discount program. Neither ALIC nor any of its affiliates is an affiliate, agent, representative or employee of discount program. Dental providers are independent contractors and not employees or agents of ALIC or its affiliates. ALIC does not provide dental care or treatment and is not responsible for outcomes.

*** If you are looking for a specific dental procedure that is not on this sample, please contact our 1020RX Member Services Center toll-free at 1-800-7-1020RX with the specific ADA Code of the procedure and we can assist with providing the discounted fee information.