Individual & Family
Dental Care |

Plan TD-A800. A comprehensive Prepaid Dental Plan,
which has contracted with established private practicing
dentists to provide you convenient, affordable and quality
dental care.
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Save money - 20-60%
off the dentist's usual
charges.
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No waiting periods. No
claim forms. No
deductible. |
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Pre-existing conditions are
covered.
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No limits on visits
or amount of dental care. No
annual or lifetime benefit
maximums. |
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Covers Orthodontics
(braces), Implants, and
Specialist services. |
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SAMPLE COST COMPARISON |
ADA
Code |
Procedure Name |
Usual
Feeč |
Plan
Copayment |
Percent
Savings |
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0150 |
Initial Oral
Exam |
$68 |
$0 |
100% |
|
0210 |
Complete Series X-Rays |
$107 |
$0 |
100% |
|
1110 |
Adult -
Prophylaxis (Cleaning) |
$73 |
$10 |
86% |
|
2140 |
Amalgam - One Surface Filling |
$105 |
$15 |
86% |
|
2330 |
Resin - One Surface Filling |
$116 |
$30 |
74% |
|
2740 |
Crown - Porcelain/Ceramic |
$910 |
$495 |
46% |
|
3310 |
Root Canal -
Anterior |
$578 |
$250 |
57% |
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3330 |
Root Canal - Molar |
$911 |
$450 |
51% |
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7140 |
Oral Surgery - Single Tooth |
$115 |
$60 |
48% |
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7220 |
Oral Surgery - Soft / Impacted |
$254 |
$120 |
53% |
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5130 |
Immediate Upper/Lower Denture |
$1279 |
$700 |
45% |
1. Usual fee is an average of dental fees
throughout the state. The actual fee and savings may vary.
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For Maricopa & Pima Counties Only - If you are in a different county,
please contact us.
What Does it Cost?
Subscriber Only:
$15.50 mo / $186 per year
Subscriber + 1 dependent:
$27.50 mo / $330 per year
Family:
$41.00 mo / $492 per year
Plan Documents
Plan TD-A800 Brochure
FAQ - Questions & Answers
Participating Dentist Directory
How soon can coverage begin?
Plans purchased by the 20th of the month become effective the
first of the following month.
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