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Summary of Discounts

Below you will find a list of common dental services and the price you will pay with your Gentle Dental Membership. You will also enjoy 20% off all dental services not included below.

ADA
Code
Description You Pay
Diagnostic & Preventative
D0120Periodic Oral Evaluation - Established PatientSelect State
D0140Limited Oral Evaluation - Problem FocusedSelect State
D0150Comprehensive Oral Evaluation - New Or Established PatientSelect State
D0210Complete Series - Full Mouth X-RaysSelect State
D0220First FilmSelect State
D0230Each Additional FilmSelect State
D0272Bitewings - Two FilmsSelect State
D0274Bitewings - Four FilmsSelect State
D0330Panoramic FilmSelect State
D1110Prophylaxis (Cleaning) - AdultSelect State
D1120Prophylaxis (Cleaning) - ChildSelect State
D1206Topical Application Of Fluoride VarnishSelect State
D1208Topical Application Of Fluoride - Excluding VarnishSelect State
D1351Sealant - Per ToothSelect State
Restorative - Fillings
D2330Composite - One Surface, Front TeethSelect State
D2331Composite - Two Surfaces, Front TeethSelect State
D2332Composite - Three Surfaces, Front TeethSelect State
D2391Composite - One Surface, Back TeethSelect State
D2392Composite - Two Surfaces, Back TeethSelect State
D2393Composite - Three Surfaces, Back TeethSelect State
Restorative - Crowns
D2740Crown - Porcelain/Ceramic Substrate CEREC CAD/CAMSelect State
D2740Crown - Premium CEREC CAD/CAMSelect State
D2751Crown - Porcelain Fused To Base MetalSelect State
D2920Recementation - CrownSelect State
D2950Core Buildup, Including Any Pins When RequiredSelect State
D2954Post And Core In Addition To CrownSelect State
D2962Labial Veneer (Porcelain Laminate) - LaboratorySelect State
Endodontics - Root Canals (Performed By General Dentist)
D3220Pulpotomy (Excluding Final Restoration)Select State
D3310Root Canal (Anterior)Select State
D3320Root Canal (Bicuspid)Select State
D3330Root Canal (Molar)Select State
Endodontics - Root Canals (Performed By Specialist)
D3310Root Canal (Anterior)Select State
D3320Root Canal (Bicuspid)Select State
D3330Root Canal (Molar)Select State
Periodontics
D4341Periodontal Scaling And Root Planing - Four Or More Teeth Per QuadSelect State
D4355Full Mouth DebridementSelect State
D4910Periodontal MaintenanceSelect State
D4999Laser Bacterial Decontamination With SRP (Per Quad)Select State
D4999Laser Bacterial Decontamination With PMV Or CleaningSelect State
Prosthodontics Dentures
D5110 - D5120Complete Denture - (Upper Or Lower)Select State
D5110 - D5120Complete Premium Denture - (Upper Or Lower)Select State
D5130 - D5140Immediate Denture - (Upper Or Lower)Select State
Implant - Single Tooth
CEREC Implant (Implant, Abutment, Crown) Single ToothSelect State
Bridge - Fixed
D6240Pontic - Porcelain Fused To High Noble MetalSelect State
D6241Pontic - Porcelain Fused To Base MetalSelect State
D6245Pontic - Porcelain/CeramicSelect State
D6740Crown - Porcelain/CeramicSelect State
D6750Retainer Crown - Porcelain Fused To High Noble MetalSelect State
D6751Retainer Crown - Porcelain Fused To Predominantly Base MetalSelect State
Oral Surgery - Extractions (Performed By General Dentist)
D7111Extraction, Deciduous ToothSelect State
D7140Extraction, Erupted ToothSelect State
D7210Surgical Removal Of Erupted ToothSelect State
D7250Removal Of Residual Tooth RootsSelect State
Orthodontics
Limited Orthodontic Treatment - (Up To 12 Months, Including Records & Retention)Select State
Phase I Orthodontic Treatment - (Up To 12 Months, Including Records & Retention)Select State
Comprehensive Orthodontic Treatment - (Up To 24 Months, Including Records & Retention)Select State
Other Services
D9910Application Of Desensitizing MedicamentSelect State
D9940Occlusal Guard, By ReportSelect State
D9972External Bleaching - Per Arch - Performed In OfficeSelect State

Certain Limitations Apply. See gentledentalplan.com/support/ to view your state's Description of Service and Disclosure form.

We love the Gentle Dental Plan!

Visiting our dentist is actually enjoyable! With a no frills plan and no waiting periods, we can go as often as we need.

A simple plan with plenty of savings!

I enjoy getting discounts every time I go to the dentist. Being a member is worth every penny!

Smiles all day long!

My son actually enjoys visiting his dentist! It's important to start off on the right foot, and with the Gentle Dental, we have!

Happy Members!

Life is great being a member of the Gentle Dental Plan! The membership plan allows our whole family to get steep discounts for our dental care. Now, we have extra money for fun and games with the family!