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Summary of Discounts

ADA
Code
Description National Dental
Advisory Service*
Member
Pays
Average%
Savings
D0120Existing Patient Exam$60$3050%
D0140Limited Exam$88$4450%
D0150Comprehensive Exam$103$5150%
D0210X-Rays – Complete Set$154$7750%
D0220X-Ray – First Film$35$1751%
D0230X-Ray – Additional Film$30$1550%
D0272X-Ray – 2 Bitewings$53$2651%
D0274X-Ray - 4 Bitewings$76$3850%
D0330Panoramic X-Ray$130$6550%
D1110Cleaning - Adult$106$5350%
D1120Cleaning - Child$83$4151%
D1206Fluoride Varnish$50$2550%
D1208Fluoride$45$2251%

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