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SAVINGS
Getting the most for your health care dollar in today’s economic environment has made shopping smart a priority for individuals, families, and groups. Our plan provides you value for your dollar, real savings, and real discounts each time you use the plan.
A Sample of Your Discounted Savings
(fees based on Region 1 *)
| Procedure |
ADA Code 1 |
UCR Fee 2 |
You Pay 3 |
Your Gold Plan
Savings |
| Periodic oral evaluation |
D0120 |
$60 |
$35 |
$25 |
| Comprehensive oral evaluation |
D0150 |
$105 |
$39 |
$66 |
| Full
mouth x-rays |
D0210 |
$148 |
$72 |
$76 |
| Bitewing
x-rays (4 films) |
D0274 |
$78 |
$40 |
$38 |
| Adult
cleaning (prophylaxis) |
D1110 |
$109 |
$60 |
$49 |
| Resin-based composite (filling) |
D2330 |
$193 |
$98 |
$95 |
| Crown -
porcelain or noble metal |
D2750 |
$1,265 |
$750 |
$515 |
| Root
canal therapy, molar |
D3330 |
$1,175 |
$610 |
$565 |
| Perio
scaling and root planing (per quadrant) |
D4341 |
$289 |
$145 |
$144 |
| Complete denture - upper jaw |
D5110 |
$2,000 |
$705 |
$1,175 |
| Extraction - simple (per tooth) |
D7140 |
$207 |
$89 |
$118 |
| General
anesthesia - first 30 minutes |
D9220 |
$500 |
$195 |
$305 |
1 The American
Dental Association (ADA) reference manual that
contains the code on dental procedures and
nomenclature and other information pertinent to
patient record keeping by a dental office; published
biennially. Reference:
Current Dental Terminology 2009/2010. i-281.
2 Usual, Customary and Reasonable
Fee is a fee that an individual dentist most
frequently charges for a specific dental procedure.
This fee can vary by Dentist. The UCR Fees are
taken from the National Advisory Service
Database 2009.
3 Member pays the fees directly to
the dentist. Coastal Dental is not responsible
for any Member Fees.
* Region 1 are for California counties, Los Angeles, Orange, San Bernardino, San Diego, Riverside, and Ventura. Region 2 are for California counties, Alameda, Contra Costa, El Dorado, Fresno, Kern, Lake, Placer, Sacramento, San Benito, San Francisco, San Luis Obispo, San Mateo, Santa Barbara, Santa Clara, San Joaquin, Solano, Sonoma, Stanislaus, Tulare, Yolo, and the following states: Arizona, Colorado, Hawaii, Oregon, Nevada, New Mexico, Texas, and Washington.

Summary of Savings *
| Service Category |
 |
Average Discount |
 |
 |
|
| Diagnostic |
|
64% |
| Preventative |
|
50% |
| Restorative |
|
42% |
| Endodontics |
|
49% |
| Periodontics |
|
51% |
| Prosthodontics (Removable) |
|
45% |
| Implant Services |
|
50% |
| Prosthodontics (Fixed) |
|
47% |
| Oral and Maxillofacial Surgery |
|
58% |
| Orthodontics |
|
59% |
| Adjunctive Services |
|
57% |
|
* For a complete listing of your discounts and disclosure form
(plan description), click here.

VALUE
As a consumer you want a plan that goes beyond the basics, you want value. Enjoy a plan that makes it possible to maintain your good oral health while minimizing your dental expenses. At Coastal Dental, we can help. We’re a ‘consumer oriented’ discount plan offering you choice, access, and affordability.

CONVENIENCE
Best of all, we have taken out the confusion, put it aside and created a plan that is easy use, easy understand. It’s that simple, join now then choose from a panel of participating providers and start saving on your next dental visit.
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