| PROCEDURE | USUAL FEE | MEMBER FEE | SAVINGS |
| Exam (2 per year) | $55 | FREE | $55 |
| Adult Cleaning (2 per year) | $109 | FREE | $109 |
| Child Cleaning (2 per year) | $83 | FREE | $83 |
| Child Fluoride | $45 | $36 | $9 |
| Full Mouth X-Ray Series | $184 | $147 | $37 |
| Bitewing X-Rays (once a year) | $73 | FREE | $73 |
| Crown (porcelain fused to metal) | $1318 | $1054 | $264 |
| Zoom Whitening | $300 | $240 | $60 |
| Invisalign | $5200 | $4700 | $500 |