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Flexible Benefits Offered By Certain Savon Participating Providers
Used by Savon Dental Plan Participating Providers Nationwide
All Participating Providers are under contract to Savon to abide by this discount schedule when providing services to Savon members. Please keep in mind that the discount is taken off the provider's own usual fees so the cost of care my vary from provider to provider. Make sure you understand the cost and the discount before starting any procedures.
| Procedure Description |
Code Area |
Reduction Value |
| Diagonstic/X-rays & Exams |
D0100 - D0999 |
40% |
| Preventative/Cleaning & Fluoride |
D1000 - D1999 |
40% |
| Restorative/Fillings & Crowns |
D2000 - D2999 |
35% |
| Endodontics/Root Canals |
D3000 - D3999 |
40% |
| Periodontics/Gum Disease |
D4000 - D4999 |
40% |
| Prosthodontics/Removable Dentures |
D5000 - D5899 |
40% |
| Maxillofacial Prostehetics/Special Dentures |
D5900 - D5999 |
35% |
| Implant Services/Crowns (Final Restoration) |
D6000 - D6199 |
20% |
| Prosthodontics/Fixed Bridges |
D6200 - D6999 |
40% |
| Oral Surgery/Extractions |
D7000 - D7999 |
35% |
| Orthodontics/Braces |
D8000 - D8999 |
20% |
| Adjunctive General/All Other Services |
D9110 - D9999 |
50% |
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Special Notes
- Lab fees are not discounted
- Charges for precious metals apply
- Payment is due at the time of service, UNLESS PRIOR arrangements are made
This discount schedule covers all Savon members no matter which plan they are on.
All procedures INCLUDING Cosmetic Dentistry are discounted by the percentage shown above.
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