Standard Plan

The Standard Plan provides discounts of between 15-25% on covered services. Our PERFECT TEETHTM Dental Plan patients receive a 20% discount on specialty services.

Annual Cost Paid With 12-month Agreement

Each Member or Dependent $75/year

Monthly Payment Option for Annual Membership- Please contact Dental Plan Administrator at 877-550-8079 or 303-691-8080.

Procedure Description Regular Fee Your Cost Standard Plan Savings % Standard Plan
Routine Dental Cleaning (Limited to two cleaning per year) $90 $31 65%
Sealant Per Tooth $66 $49 25%
Silver Filling 2 Surfaces Permanent $145 $123 15%
Tooth-Colored Filling 2 Surfaces Front Tooth $163 $138 15%
Tooth-Colored Filling 2 Surfaces Back Tooth $263 $223 15%
Crown Porcelain and Gold $1,315 $1,052 20%
Sedative Filling $119 $95 20%
Core Build-Up $331 $264 20%
Porcelain Veneer $892 $714 20%
Root Canal Front Tooth $828 $662 20%
Root Canal Back Tooth $1,323 $1,058 20%
Root Planing & Scaling Per Quadrant (Deep Cleaning) $318 $255 20%
Full Denture $1,133 $906 20%
Extraction- Uncomplicated $156 $124 20%
3 Unit Bridge - Porcelain and Gold $3,909 $3,126 20%
These fee examples are for Colorado.  Fees and savings will vary slightly from this schedule in Arizona and New Mexico.

This fee schedule is void if services are rendered by a specialist.
Limited to two routine teeth cleanings per plan year.

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