Plan Details - AZ

The PERFECT TEETHTM Dental Plan is the perfect way for you and your family to save money on the dental care you need. Discounts range between 30-70% on covered treatment, including both general and specialty services. 

Annual Cost Paid With 12-month Agreement

Single Enrollee $95/year
Enrollee + Dependent $125/year
Enrollee + 2 or more Dependents $150/year

Below is a list of PERFECT TEETHTM Dental Plan fees for common dental treaments.  Click on the bold headers within each section for additional fee information or click here for a comprehensive list of both general and specialty fees.

Procedure Description                        Regular Fee Member Cost Savings
Diagnostic & Preventive
Exam $78 $1 98%
Complete X-rays $152 $1 99%
Preventive Cleaning - Adult
(Limited to two cleanings per year)
$90 $38 57%
Preventive Cleaning - Child 
(Limited to two cleanings per year)
$80 $20 75%
Fluoride Varnish $35 $25 28%
Fillings - Tooth Colored
Front Tooth - 1 Surface $123 $85 31%
Front Tooth - 2 Surfaces $163 $105 36%
Front Tooth - 3 Surfaces $199 $110 45%
Back Tooth - 1 Surface $143 $100 30%
Back Tooth - 2 Surfaces  $263 $125 52%
Back Tooth - 3 Surfaces $333 $145 56%
Crowns
Ceramic $1,408 $850 40%
Porcelain to Fused High Noble $1,314 $750 43%
Porcelain Fused to Base Metal $1,055 $495 53%
Build- up $331 $135 59%
Implant Crown (EXT/Implant/Cust Abut/PFM) $4,693 $2,995 36%
Periodontics
Root Planing & Scaling - full quad $318 $130 59%
Root Planing & Scaling-1-3 teeth $174 $75 57%
Perio Maintenance $162 $75 54%
Oral Irrigation- per quad $15 $10 33%
Endodontics
Root Canal - Front $828 $425 49%
Root Canal - Bicuspid $994 $480 52%
Root Canal - Molar $1,323 $860 24%
Dentures
Complete Upper $1,133 $825 27%
Complete Lower $1,133 $675 40%
Upgraded Teeth - Per Arch $0 $500 0%
Oral Surgery
Extraction - Simple $156 $115 26%
Extraction - Surgical $232 $175 25%
These fee examples are for Colorado.  Fees and savings will vary slightly from this schedule in Arizona and New Mexico.

Additional fees may apply depending on the services you need. Dental fees are subject to change without notice. The PERFECT TEETH™ Dental Plan may not be used in conjunction with other insurance or discount plan.

This fee schedule is void if services are rendered by a specialist.

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