Affordable Care Dental

Affordable Care Dental

Affordable Care Dental is a discount dental program. It is not dental insurance. The plan provides discounts at specific dentists who are contracted with our company to provide our members with significantly lower fees. The plan does not make payments directly to the dentists for dental services. Plan members are obligated to pay for all dental services at the contracted discounted rate. The plan and its administrators have no liability for providing or guaranteeing service by providers or the quality of service rendered by providers. This plan is only available in California, Nevada, Arizona, New York and Houston, Texas.

Call during regular work hours. Monday through Friday 8:30 a.m – 5 p.m.  Pay the yearly enrollment. Make an appointment with a participating dentist, and immediately save up to 60% on all your dental for the next year.  There are few things worse than a toothache.  When you are experiencing a persistent toothache, call us toll free 888-550-8895. Don’t wait, even if the pain eventually goes away, the problem is still there, and it will come back worse than what you have now. Although we specialize in helping people obtain quick, affordable dental care and immediate access dental coverage, many people purchase our plan for themselves and their family to obtain affordable routine dental care.

  • If you are experiencing a painful dental emergency
  • If you need to see an affordable dentist right away, and you don’t have dental coverage
  • then, call toll free 888-550-8895 today!

Very Low YEARLY Enrollment Fee

(most dental plans charge $240-$600 per year)

  • $75 yearly enrollment fee per individual
  • $125 yearly enrollment for two people
  • Group Enrollment – $185 covers up to six people
  • Group members do not have to be related.

When you enroll in our discount dental plan you receive same day coverage, and in many cases, you can get same day or next day appointments. We specialize in helping people with no dental insurance find affordable dental discount care, low cost dentists, and low cost dental treatments for dental emergencies. We help new members get their dental treatment ASAP, and we help all of our members save up to 60% on their dental bill.

The Affordable Care Dental Membership Card offers the following unique features:

  • Bigger Savings: The discounts you’ll get with the Affordable Care Dental Plan are significantly higher than most other plans.  Our discounts are up to 60% and even higher in some cases! Most other advertised plans have little or no discounts, and unlike other plans, the Affordable Care Dental Plan provides a written list of the final discount price that our members pay.
  • Solid Company: The Affordable Care Dental Plan uses an exclusive list of pre-selected dentists and dental offices that have been recommended by consumers. In addition, all the dentists and dental providers in our network have well established, successful dental practices.
  • Payment: Unlike other plans that require monthly payments, the Affordable Care Dental Plan has one small fee that covers a year of dental care with savings up to 60%.
  • Money Back Price Guarantee: Within 30 days from the date you enroll, if you use an Affordable Care Dental Provider, and are charged higher prices without your consent than what is listed, we will fully refund your enrollment fees.

Dental Plan Advantages

  • Members are encouraged to recommend their own dentists for participation.
  • No costs to dentists to join this plan as a provider
  • Immediate “same day” use
  • $25 first visit – includes exam and x-rays**
  • $25 teeth cleaning
  • Group enrollment members DO NOT have to be related to receive group discount price
  • Members receive a $10 referral fee on new members they recommend
  • No qualifications or restrictions to use this program
  • Members save up to 60% on dental care
  • No problem with pre-existing conditions
  • No waiting period
  • No deductibles
  • No paperwork or forms to fill out
  • No surprises – complete price list below

Prices with our plan

Diagnostic
ADA Number

Description

General Fees

Specialist Fees

D0016 Failed Appointment (without 24 hours notice) $25.00 $35.00
D0120 Periodic Oral Evaluation $25.00 $40.00
D0140 Limited Oral Evaluation $40.00 $70.00
D0150 Comprehensive Oral Evaluation – new or established $27.50 $75.00
D0180 Comprehensive Periodental Evaluation – new or established $19.00 $25.00
D0210 Intraoral – Complete Series (including Bitewings) $49.50 $90.00
D0220 Intraoral – Periapical first film $18.00 $24.00
D0230 Intraoral – Periapical each additional film $3.30 $10.00
D0240 Intraoral – Occlusal Film $7.70 $12.00
D0270 Bitewing – Single Film $5.50 $12.00
D0272 Bitewings – Two Films $11.00 $20.00
D0274 Bitewings – Four Films $19.80 $30.00
D0290 Posterior- Anterior or lateral skull and facial bone survey film $130.00
D0330 Panoramic Film $57.00 $85.00
D0340 Cephalometric Film $55.00 $100.00
D0460 Pulp Vitality Tests $45.00
D0470 Diagnostic Casts $70.00 $90.00

Preventative
ADA Number Description General Fees Specialist Fees
D1110 Prophylaxis – Adult (cleaning) $60.00
D1120 Prophylaxis – Child (cleaning) $55.00 $55.00
D1203 Topical Application of Fluoride – Child $35.00
D1205 Prophylaxis, Fluoride – Adult $98.00
D1351 Sealant – per tooth $35.00 $40.00
D1510 Space maintainer – fixed – unilateral $275.00 $280.00
D1515 Space maintainer – fixed – bilateral $320.00 $370.00
D1520 Space maintainer – removable – unilateral $300.00 $350.00
D1525 Space maintainer – removable – bilateral $400.00 $440.00
D1550 Re-cementation of Space maintainer $55.00 $70.00

Restorative
ADA Number Description General Fees Specialist Fees
D2140 Amalgam – One Surface, Primary or Permanent $75.00 $100.00
D2150 Amalgam – Two Surface, Primary or Permanent $100.00 $125.00
D2160 Amalgam – Three Surfaces, Primary or Permanent $125.00 $150.00
D2161 Amalgam – Four or more Surfaces, Primary or Permanent $150.00 $175.00
D2330 Resin-based Composite – One Surface, Anterior $100.00 $125.00
D2331 Resin-based Composite – Two Surfaces, Anterior $125.00 $150.00
D2332 Resin-based Composite – Three Surfaces, Anterior $150.00 $175.00
D2335 Resin-based Composite – Four or more Surfaces/incisal angle- Ant. $175.00 $200.00
D2391 Resin-based Composite – One Surface, Posterior $105.00 $130.00
D2392 Resin-based Composite – Two Surfaces, Posterior $130.00 $160.00
D2393 Resin-based Composite – Three Surfaces, Posterior $160.00 $190.00
D2394 Resin-based Composite – Four or more Surfaces, Posterior $190.00 $220.00
D2510 Inlay – Metal One Surface $483.70 $495.00
D2520 Inlay – Metal Two Surfaces $548.80 $560.00
D2530 Inlay – Metal Three or more Surfaces $632.10 $644.00
D2542 Onlay – Metal Two Surfaces $623.70 $635.00
D2543 Onlay – Metal Three Surfaces $648.90 $660.00
D2544 Onlay – Metal Four or more Surfaces $674.80 $686.00
D2610 Inlay – Porcelain One Surface $568.40 $580.00
D2620 Inlay – Porcelain Two Surfaces $599.90 $611.00
D2630 Inlay – Porcelain Three Surfaces $639.80 $651.00
D2642 Onlay – Porcelain Two Surfaces $621.60 $633.00
D2643 Onlay – Porcelain Three Surfaces $669.90 $681.00
D2644 Onlay – Porcelain Four and more Surfaces $710.50 $722.00
D2650 Inlay – Composite One Surface $431.20 $433.00
D2651 Inlay – Composite Two Surfaces $514.50 $526.00
D2652 Inlay – Composite Three or more Surfaces $540.40 $552.00
D2662 Onlay – Composite One Surface $508.20 $520.00
D2663 Onlay – Composite Two Surfaces $597.80 $609.00
D2664 Onlay – Composite Three or more Surfaces $640.50 $652.00
D2750 Crown – Porcelain Fused to High Noble Metal $836.50 $836.50
D2751 Crown – Porcelain Fused to Predominantly Base Metal $644.00 $644.00
D2752 Crown – Porcelain Fused to Noble Metal $690.00 $690.00
D2780 Crown – ¾ Cast High Noble Metal $751.10 $763.00
D2781 Crown – ¾ Cast Predominantly Base Metal $412.50 $424.50
D2782 Crown – ¾ Cast Noble Metal $693.00 $705.00
D2790 Crown – Full Cast Noble Metal $515.60 $527.00
D2791 Crown – Full Cast High Noble Metal $765.00 $777.00
D2792 Crown – Full Cast Predominantly Base Metal $695.00 $707.00
D2910 Recement Inlay, Onlay, or Partial Coverage Restoration $65.00 $70.00
D2915 Recement Cast or Prefabricated Post and Core $55.00 $60.00
D2920 Recement Crown $75.00 $80.00
D2930 Prefabricated Stainless Steel Crown – Primary Tooth $160.00 $172.00
D2931 Prefabricated Stainless Steel Crown – Permanent Tooth $190.00 $202.00
D2932 Prefabricated Resin Crown $240.00 $252.00
D2940 Protective Restoration $80.00 $92.00
D2950 Core Buildup, including Pins $184.80 $184.80
D2951 Pin Retention – per Tooth, in Addition to Restoration $45.00 $45.00
D2952 Post and Core in addition to Crown, Indirectly Fabricated $200.00 $200.00
D2954 Prefabricated Post and Core in Addition to Crown $175.00 $175.00

Endodontics
ADA Number Description General Fees Specialist Fees
D3110 Pulp cap – direct $60.00 $65.00
D3120 Pulp cap – indirect $60.00 $65.00
D3220 Therapeutic Pulpotomy $100.00 $120.00
D3220 Therapeutic Pulpotomy – Child $140.00
D3310 Root Canal – Anterior $470.00 $570.00
D3320 Root Canal – Bicuspid $570.00 $670.00
D3330 Root Canal – Molar $670.00 $770.00
D3346 Retreat/RCT-Anterior $600.00 $700.00
D3347 Retreat/RCT – Bicuspid $700.00 $800.00
D3348 Retreat/RCT – Molar $800.00 $900.00
D3351 Apexification/Recalcification/Pulpal Regeneration – First Visit $200.00 $300.00
D3352 Apexification/Recalcification/Pulpal Regeneration – Interim Med. $150.00 $175.00
D3353 Apexification/Recalcification/Pulpal Regeneration – Final Visit $300.00 $400.00
D3410 Apicoectomy/Periradicular Surgery – Anterior $300.00 $350.00
D3421 Apicoectomy/Periradicular Surgery – Biscupid (First Root) $350.00 $400.00
D3425 Apicoectomy/Periradicular Surgery – Molar $450.00 $500.00
D3426 Apicoectomy/Periradicular Surgery (Each additional root) $250.00 $275.00
D3430 Retrograde filling – per root $200.00 $225.00
D3450 Root Amputation – per root $430.00 $440.00
D3420 Hemisection (including any root removal), not including root canal therapy $300.00 $350.00

Periodontics
ADA Number Description General Fees Specialist Fees
D4210 Gingivectomy or Gingivoplasty – four or more teeth $400.00 $500.00
D4211 Gingivectomy or Gingivoplasty – one to three teeth $200.00 $230.00
D4240 Gingival Flap Procedure, including root planning – four or more teeth $652.00 $700.00
D4241 Gingival Flap Procedure, including root planning – one to three teeth $420.00 $580.00
D4260 Osseous Surgery (including Flap Entry & Closure) Four or more teeth $600.00 $800.00
D4261 Osseous Surgery (including Flap Entry & Closure) one to three teeth $400.00 $600.00
D4270 Pedicle Soft Tissue graft procedure $600.00 $620.00
D4271 Free Soft Tissue Graft Procedure (including donor site surgery) $635.00 $650.00
D4341 Periodontal Scaling and Root Planning – Four or more teeth per quadrant $110.00 $150.00
D4342 Periodontal Scaling and Root Planning – One to Three teeth per quadrant $75.00 $125.00
D4355 Full Mouth Debridement $140.00 $165.00
D4381 Localized delivery of Antimicrobial agents – per tooth $75.00
D4910 Periodontal Release $105.00 $120.00

Prosthodontics- Removable
ADA Number Description General Fees Specialist Fees
D5110 Complete Denture – Maxillary $595.00
D5120 Complete Denture – Mandibular $595.00
D5130 Immediate Denture – Maxillary $695.00
D5140 Immediate Denture – Mandibular $695.00
D5211 Maxillary Partial Denture – Resin base $456.50
D5212 Mandibular Partial Denture – Resin base $456.50
D5213 Maxillary Partial Denture – Cast Metal Framework – Resin base $550.00
D5214 Mandibular Partial Denture – Cast Metal Framework – Resin base $550.00
D5225 Maxillary Partial Denture – Flexible Base $340.00
D5226 Mandibular Partial Denture – Flexible Base $340.00
D5410 Adjust Complete Denture – Maxillary $65.00
D5411 Adjust Complete Denture – Mandibular $65.00
D5421 Adjust Partial Denture – Maxillary $65.00
D5422 Adjust Partial Denture – Mandibular $65.00
D5510 Repair broken Complete Denture base $100.00
D5520 Replace Missing or Broken Teeth – Complete Denture – per tooth $100.00
D5610 Repair Resin Denture Base $100.00
D5620 Repair Cast Framework $150.00
D5630 Repair or Replace Broken Clasp $150.00
D5640 Replace Broken Teeth – per tooth $100.00
D5650 Add Tooth to existing Partial Denture $125.00
D5660 Add Clasp to existing Partial Denture $125.00
D5710 Rebase Complete Maxillary Denture $250.00
D5711 Rebase Complete Mandibular Denture $250.00
D5720 Rebase Maxillary Partial Denture $230.00
D5721 Rebase Mandibular Partial Denture $230.00
D5730 Reline Complete Maxillary Denture (Chairside) $175.00
D5731 Reline Complete Mandibular Denture (Chairside) $175.00
D5740 Reline Maxillary Partial Denture (Chairside) $170.00
D5741 Reline Mandibular Partial Denture (Chairside) $170.00
D5750 Reline Complete Maxillary Denture (Lab) $200.00
D5751 Reline Complete Mandibular Denture (Lab) $200.00
D5760 Reline Maxillary Partial Denture (Lab) $200.00
D5761 Reline Mandibular Partial Denture (Lab) $200.00
D5820 Interim Partial Denture (Maxillary) $300.00
D5821 Interim Partial Denture (Mandibular) $300.00
D5850 Tissue Conditioning, Maxillary $100.00
D5851 Tissue Conditioning, Mandibular $100.00
D5999 Temporary Stay Plate $100.00

Prosthodontics (Fixed)
ADA Number Description General Fees Specialist Fees
D6210 Pontic – Cast High Noble – Metal $769.30
D6211 Pontic – Cast Predominantly Base Metal $500.00
D6212 Pontic – Cast Noble Metal $600.00
D6240 Pontic – Porcelain Fused to High Noble Metal $825.00
D6241 Pontic – Porcelain Fused to Predominantly Base Metal $600.00
D6242 Pontic – Porcelain Fused to Noble Metal $700.00
D6750 Crown – Porcelain Fused to High Noble Metal $825.00
D6751 Crown – Porcelain Fused to Predominantly Base Metal $500.00
D6752 Crown – Porcelain Fused to Noble Metal $600.00
D6780 Crown – ¾ Cast High Noble Metal $645.00
D6781 Crown – 3/4 Cast Predominantly Base Metal $520.00
D6782 Crown – ¾ Cast Noble Metal $580.00
D6790 Crown – Full Cast High Noble Metal $769.00
D6791 Crown – Full Cast Predominantly Base Metal $515.00
D6792 Crown – Full Cast Noble Metal $693.00
D6930 Recement Fixed Partial Denture $100.00
D6970 Post and Core in Addition to Fixed Partial Retainer $300.00
D6972 Prefabricated Post & Core in Addition to Fixed Partial Retainer $250.00
D6973 Core Build up for Retainers – Including any pins $175.00

Oral & Maxillofacial Surgery
ADA Number Description General Fees Specialist Fees
D7111 Extraction – Coronal Remnants – Deciduous Tooth $80.00 $100.00
D7140 Extraction, Erupted Tooth or Exposed Root $90.50 $115.00
D7210 Surgical Removal of Erupted Tooth $93.50 $145.00
D7220 Removal of Impacted Tooth – Soft Tissue $110.00 $165.00
D7230 Removal of Impacted Tooth – Partially Bony $148.00 $195.00
D7240 Removal of Impacted Tooth – Completely Bony $181.50 $265.00
D7241 Removal of Impacted Tooth – Bony Complex $181.50 $325.00
D7250 Surgical Removal of Residual Tooth – Cutting Procedure $150.00 $200.00
D7471 Removal of Lateral Exostosis – Maxilla or Mandible $500.00 $680.00
D7472 Removal of Torus Palatinus $300.00 $560.00
D7473 Removal of Torus Mandibularis $300.00 $540.00
D7510 Incision and Drainage of Abcesses – Intraoral Soft Tissue $75.00 $145.00
D7960 Frenulectomy – Frenectomy – frenotomy $200.00 $250.00
D7963 Frenuloplasty $250.00
D7970 Excision of Hyperplastic Tissue – Per Arch $200.00 $250.00
D7971 Excision of Pericoronal Gingiva $150.00 $170.00

Orthodontics
ADA Number Description General Fees Specialist Fees
D8030 Limited Orthodontic Treatment of the Adolescent Dentition $2,064.80
D8040 Limited Orthodontic Treatment of the Adult Dentition $2,064.80
D8080 Comprehensive Orthodontic Treatment of the Adolescent Dentition $4,050.50
D8090 Comprehensive Orthodontic Treatment of the Adult Dentition $4,050.50
D8210 Removable Appliance Therapy $500.00
D8220 Fixed Appliance Therapy $525.00
D8670 Periodontal Orthodontic Treatment Visit $106.00
D8680 Orthodontic Retention (Removal of Appliances, Construction, and Placement of Retainers) $400.00

Adjunctive General Services
ADA Number Description General Fees Specialist Fees
D9110 Palliative (Emergency) Treatment $75.00 $85.00
D9215 Local Anesthesia in Conjunction with Operative or Surgical Procedure $0.00 $0.00
D9220 General Anesthesia per 30 minutes $110.00 $120.00
D9230 Analgesia/N20 $90.00 $100.00
D9241 IV Sedative – First 30 Minutes $280.00 $290.00
D9242 IV Sedative – Additional 15 minutes $117.60 $130.00
D9310 Consultation – Oral Surgeon/Pedo/Endodontist/Periodontist $75.00
D9430 Office Visit for Observation – No other Services Performed $30.00 $40.00
D9440 Office Visit – After Hours $40.00 $100.00
D9450 Case Presentation, Detailed and Extensive Treatment Planning $5.00 $10.00
D9930 Treatment of Complications (Post-Surgical) $30.00
D9940 Occlusal Guard $400.00
D9941 Fabrication of Athletic mouthguard $85.00
D9942 Repair and/or recline of Occlusal Guard $60.00
D9950 Occlusion Analysis – Mounted Case $200.00 $250.00
D9951 Occlusal Adjustment – Limited $75.00 $85.00
D9972 External Bleaching – Per Arch $200.00
D9973 External Bleaching – Per Tooth $145.00

*Any unlisted procedures at a 30% off dentist’s fee schedule*