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REAL SAVINGS YOU CAN SEE!
| Treatment Examples |
Average Cost* |
Delta Dental
Patient Direct
Cost |
Typical Savings |
| Periodic Oral Examination |
$47.60 |
$38.00 |
» $9.60 |
| Bitewings - four films (x-rays) |
$51.97 |
$42.00 |
» $9.97 |
Amalgam - two surfaces, primary
or permanent (filling) |
$147.61 |
$105.00 |
» $42.61 |
| Crown - full cast high noble metal |
$912.72 |
$739.00 |
» $173.72 |
| Root canal therapy - molar |
$868.64 |
$722.00 |
» $146.64 |
| Treatment Examples |
Average Cost* |
Delta Dental
Patient Direct
Cost |
Typical Savings |
| Prophylaxis - adult (cleaning) |
$96.19 |
$83.00 |
» $13.19 |
| Crown - porcelain/ceramic substrate |
$1002.77 |
$831.00 |
» $171.77 |
| Fluoride excluding prophylaxis - child |
$33.98 |
$28.00 |
» $5.98 |
Resin-based composite -
one surface, posterior |
$150.08 |
$102.00 |
» $48.08 |
Periodontal maintenance following
active therapy |
$150.29 |
$110.00 |
» $40.29 |
| Treatment Examples |
Average Cost* |
Delta Dental
Patient Direct
Cost |
Typical Savings |
| Intraoral - periapical, each additional film |
$16.12 |
$12.00 |
» $4.12 |
Removal of impacted tooth -
completely bony (wisdom tooth) |
$401.51 |
$342.00 |
» $59.51 |
| Palliative treatment |
$104.52 |
$67.00 |
» $37.52 |
| Prophylaxis - child (cleaning) |
$62.71 |
$53.00 |
» $9.71 |
Resin-based composite -
two surface, posterior |
$201.67 |
$138.00 |
» $63.67 |
| Treatment Examples |
Average Cost* |
Delta Dental
Patient Direct
Cost |
Typical Savings |
| Bitewings - two films (x-rays) |
$36.44 |
$30.00 |
» $6.44 |
Periodontal root planing - four or more
contiguous teeth or bounded teeth
spaces per quadrant |
$167.55 |
$110.00 |
» $57.55 |
Crown build-up (substructure)
including any pins |
$215.25 |
$151.00 |
» $64.25 |
| Sealant - per tooth |
$41.53 |
$36.00 |
» $5.53 |
Extraction, erupted tooth or exposed root
(elevation and/or forceps removal) |
$125.62 |
$93.00 |
» $32.62 |
| Treatment Examples |
Average Cost* |
Delta Dental
Patient Direct
Cost |
Typical Savings |
| Intraoral - periapical, first film (x-rays) |
$21.83 |
$17.00 |
» $4.83 |
| Comprehensive oral evaluation |
$66.78 |
$53.00 |
» $13.78 |
Amalgam - three surfaces, primary
or permanent (filling) |
$179.73 |
$129.00 |
» $50.73 |
| Limited oral evaluation-problem focused |
$58.12 |
$47.00 |
» $11.12 |
| Recement crown |
$79.53 |
$68.00 |
» $11.53 |
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*Average cost is based on average submitted fees in 2006 for Western Washington. Delta Dental Patient Direct costs are based on the Delta Dental Patient Direct 2007 Western Washington fees. Eastern Washington average submitted fees for 2006 and Delta Dental Patient Direct 2007 Eastern Washington fees may vary slightly. | |
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