To best understand how plans work (important when comparing), we recommend reading about Dental Insurance Plans on
Unraveling the Mysteries.
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| Procedure Explanation: |
Doctor’s Usual Fee |
Your Cost with Savon |
Your Cost with 1500 Plan |
1500 Plan waiting periods & Limits
(Here’s where we got our information) |
| Office Visit - Comprehensive Exam |
$70.00 |
No Charge |
N/C
|
First Exam
|
| Periodic Oral Evaluation - Recall Exam |
$32.00 |
$16.00 |
N/C
|
1 per consecutive 6-month period
|
| X-Rays - Full Mouth |
$120.00 |
$60.00 |
$114.00
$23.00
|
During 1st. 6 months (1 set every 5 yrs)
After 6 month waiting period
|
| Bitewings - Four Films |
$54.00 |
$11.00 |
N/C
|
1 time per 12 months maximum of 4 films
|
| Panoramic X-Ray |
$114.00 |
$57.00 |
$110.00
$22.00
|
During 1st. 6 months (1 pano per 5 yrs)
After 6 month waiting period
|
| Cleaning - Adult |
$106.00 |
$53.00 |
N/C
|
Once every 6 months
|
| Cleaning - Child |
$82.00 |
$41.00 |
N/C
|
Once every 6 months
|
| Topical Fluoride (in addition to cleaning) |
$38.00 |
$19.00 |
N/C
|
1 every 12 months under 14 yrs only
|
| Sealants -- (Fee is per tooth) |
$52.00 |
$26.00 |
N/C
|
1 per lifetime under 14 yrs only
|
| Filling - White 1 Surface |
$174.00 |
$87.00 |
$168.00
$34.00
|
During 6 month waiting period
After 6 month waiting period
|
| Crown - Porcelain/Ceramic |
$1,254.00 |
$627.00 |
$1,180.00
$590.00
|
During 12 month waiting period
After 12 month waiting period
|
| Crown - Porcelain Fused to High Noble Metal |
$1,170.00 |
$585.00 |
$1,100.00
$550.00
|
During 12 month waiting period
After 12 month waiting period
|
| Core Build up - Including any Pins |
$240.00 |
$120.00 |
$224.00
$112.00
|
During 12 month waiting period
After 12 month waiting period
|
| Root Canal - Anterior |
$762.00 |
$381.00 |
$682.00
$341.00
|
During 12 month waiting period
After 12 month waiting period
|
| Root Canal - Bicuspid |
$972.00 |
$486.00 |
$914.00
$457.00
|
During 12 month waiting period
After 12 month waiting period
|
| Root Canal - Molar |
$1,230.00 |
$615.00 |
$1,156.00
$578.00
|
During 12 month waiting period
After 12 month waiting period
|
| Periodontal Scaling and Root Planning - Per Quadrant |
$292.00 |
$146.00 |
$282.00
$141.00
|
During 12 month waiting period
After 12 month waiting period
|
| Complete Denture Upper or Lower |
$1,398.00 |
$699.00 |
$1,316.00
$658.00
|
During 12 month waiting period
After 12 month waiting period
|
| Full Denture Reline -Lab Procedure- Upper or Lower |
$414.00 |
$207.00 |
$388.00
$194.00
|
During 12 month waiting period
After 12 month waiting period
|
| Fixed Bridge 3 unit Porcelain to high noble metal (3 unit bridge requires 2 crowns and 1 pontic) |
$3,422.00 |
$1,711.00 |
$3,300.00
$1,650.00
|
During 12 month waiting period -
After 12 month waiting period
|
| Simple Extraction |
$180.00 |
$90.00 |
$168.00
$34.00
|
During 6 month waiting period
After 6 month waiting period
|
| Surgical Removal of Erupted Tooth |
$274.00 |
$137.00 |
$264.00
$132.00
|
During 12 month waiting period
After 12 month waiting period
|
| Braces - Child |
$7,144.00 |
$3,572.00 |
$6,720.00
$3,360.00
|
Durning 12 month waiting period
After 12 month *$1,000 lifetime benefit
|
| Teeth Whitening |
$240.00 |
$120.00 |
$350.00
|
Not Covered Under This Plan
|
The fees shown above are based on zone. Fee schedules may vary by zone. This sample is for comparison only.
Refer to the Savon Fee Schedule for actual fees in your area.
Although we have carefully researched the company that we are comparing, Savon assumes no responsibility for the accuracy of their fees.
Savon assumes no responsibility nor do we guarantee that this plan is still available.
The fee schedule is in effect only in geographical areas where Network Preferred Providers are available.
To every extent possible, all comparison fees are from zip code 85029. Fees will be different depending on the region.
These comparisons were updated in September of 2016
