The sample table above is a small selection of common procedures discounted by the Patriot Plan. Once you join, you will be provided with a complete fee schedule with discounted fees for nearly every dental procedure. All procedures covered under the Patriot Plan 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 Member Services Center toll-free at (866) 648-7123 with the ADA Code of the procedure and we can provide the discounted fee.
1 Source: DentalPlans.com (DP.C) 2007 Survey of Sample Average National Dental Fees. Fees may vary slightly by region.
2 Discounted fees are listed for visits to a participating provider. Any procedure not covered on the complete fee schedule (provided in your members area once you join) will be discounted 25% off the provider's usual and customary fee. Any services not listed at either the general dentist or specialist (including pedodontics, prosthodontics and implantology) are available at a 25% discount from usual and customary fees charged by participating providers. One should verify provider participation and fees prior to beginning any treatment.
* Annual Check-up: one per membership year: Any combination of exam procedures Routine 6 Month Check-Up, Limited Oral Evaluation - Problem Focused, In Depth Check-Up , and X-Ray procedures Full Mouth X-Rays, Individual X-Ray Showing Tooth Roots, Intraoral - Periapical each additional film, Bitewing - Single/Two/Four Films, Panoramic Film WITH prophylaxis procedures Adult Teeth Cleaning or Child Teeth Cleaning : $55 Adult, $38 Child.
All Patriot Plan dental charges are set at the fees shown on DentalPlans.com website at the time of plan purchase. These fees are good for 12 months from the date of plan purchase. The remaining 3 months on the plan may be subject a higher fee schedule, and fees are subject to change without notice.
All participating providers may charge an OSHA sterilization fee per visit.
All participating providers may charge a lab fee for crown and bridge work. |
