Dental Savings

Procedure Average Cost* Average Cost with Aetna Dental Access* Member Savings
Periodic Oral Exam $62 $32 $30
Comprehensive Oral Exam $98 $46 $52
X-Ray, Intraoral–Complete Series Including Bitewing $152 $80 $72
X-Ray, Bitewings– Four Films $72 $38 $34
X-Ray Panoramic Film $130 $68 $62
Cleaning (Prophylaxis)–Adult $114 $63 $51
Cleaning (Prophylaxis)–Child $83 $46 $37
Sealant Per Tooth $66 $32 $34
Filling– 1 Surface Resin(White) Filling, Front (Anterior) Tooth $185 $94 $91
Crown– Porcelain Fused to High Noble Metal (i.e. gold) $1,186 $801 $385
Restorative Crown– Porcelain Fused to Noble Metal $1,166 $750 $416
Root Canal Front Tooth (Anterior) Excluding Final Restoration $823 $484 $339
Root Canal Premolar Tooth (Bicuspid) Excluding Final Restoration $915 $588 $327
Root Canal Molar Excluding Final Restoration $1,131 $791 $340
Scaling/Root Planing Four or More Contiguous Teeth $254 $154 $100
Complete Upper Denture (Maxillary) $1,341 $959 $382
Extraction of Erupted Tooth or Exposed Root – Includes Local Anesthesia and Suturing If Needed $202 $91 $111
Comprehensive Orthodontic Treatment Child $5,634 $3,547 $2087
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