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Step 
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  Review Your Dental Services
 
       
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    | InsuranceCompany.com   
is a specialist in dental care, dental insurance 
plans, vision and prescription coverage programs since 
1983. We offer several national dental, vision and prescription programs 
depending upon the state you live in... 
A family membership is all residents in the household, 
including children, parents, relatives, significant others, and all permanent 
residents of the household. This dental package includes dental, vision 
and prescription (Rx) services. This plan 
includes dental, vision, and Rx benefits. Here's your chance to take the hassle out of maintaining a healthy and attractive smile. You just show up for your dental appointment and make your
payment, no claim forms, no deductibles - what could be easier? 
      We know cost is important, that's why the dental preventive care is so easy to get...and with low monthly rates and
co-payments. 
    
            
 
There are no deductibles and no yearly limits on benefits, and there are no claim forms to fill out. Your savings are in place when you visit your dentist. 
    
            
 
    
The dentists must meet the Plan's 
standard of quality and service. All have agreed to provide dental care at the 
reduced fees available only to members.
      
      Check  
       the dental sample fee 
schedule below and see how easy it is for you and/or your family to enjoy quality dental coverage while maintaining your budget. 
  
  
    
      | 
      
       There
      is no waiting period for your dental services to begin, pre-existing
dental conditions are covered and best of all, the dental plan services starts the next
      business day, so you can see the plan dentist immediately. However,
there is no coverage for any "dental work in progress"
      before entering the plan related to orthodontics. 
      If you have any questions regarding 
      the DentaChoice+ plan please 
      contact
our office for assistance. After    
      you complete the online dental application 
      we will send you an 
      email confirmation as your temporary proof of application 
 with instructions on how to make your first 
      dental appointment without your id cards. Be 
      absolutely sure your email address is correct once you have entered it. 
 Your dental ID cards will arrive 
      in 10-14 days.
 
Services start the next business day! |  |  
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        | Schedule | 24 - Sample Fee Schedule |  |  |  |  |  
        | Geographic Area: Kansas City & western 
        Missouri |  |  |  |  
        | ADA | Description | You Pay | Avg | Savings | % Savings |  
        | D0120 | Periodic Oral Evaluation | $23 | $42 | $19 | 45% |  
        | D0140 | Limited Oral Evaluation - Problem Focused | $27 | $70 | $43 | 61% |  
        | D0150 | Comprehensive Oral Evaluation | $29 | $72 | $43 | 60% |  
        | D0210 | X-ray Intraoral - Complete Series Including 
        Bitewings | $56 | $125 | $69 | 55% |  
        | D0220 | X-ray Intraoral Periapical, First Film | $11 | $24 | $13 | 53% |  
        | D0230 | X-ray Intraoral Periapical, Each Additional 
        Film | $6 | $19 | $13 | 68% |  
        | D0270 | X-ray Bitewing, Single Film | $9 | $25 | $16 | 64% |  
        | D0272 | Bitewings, Two Films | $17 | $38 | $21 | 56% |  
        | D0274 | Bitewings, Four Films | $25 | $54 | $29 | 54% |  
        | D0330 | X-ray Panoramic Film | $47 | $101 | $54 | 53% |  
        | D1110 | Prophylaxis - Adult | $41 | $77 | $36 | 47% |  
        | D1120 | Prophylaxis - Child | $27 | $53 | $26 | 49% |  
        | D1203 | Topical Application of Fluoride (prophylaxis 
        not included) - Child | $16 | $34 | $18 | 53% |  
        | D1204 | Topical Application of Fluoride (prophylaxis 
        not included) - Adult | $16 | $35 | $19 | 55% |  
        | D1351 | Sealant - Per Tooth | $21 | $46 | $25 | 55% |  
        | D2140 | Amalgam - One Surface, Primary or Permanent | $49 | $112 | $63 | 56% |  
        | D2150 | Amalgam - Two Surfaces, Primary or Permanent | $64 | $144 | $80 | 56% |  
        | D2160 | Amalgam - Three Surfaces, Primary or 
        Permanent | $77 | $175 | $98 | 56% |  
        | D2330 | Resin-based Composite - One Surface, 
        Anterior | $62 | $130 | $68 | 52% |  
        | D2331 | Resin-based Composite - Two Surfaces, 
        Anterior | $80 | $167 | $87 | 52% |  
        | D2750 | Crown-Porcelain Fused to High Noble Metal | $524 | $918 | $394 | 43% |  
        | D2751 | Crown-Porcelain Fused to Predominantly Base 
        Metal | $488 | $855 | $367 | 43% |  
        | D2752 | Crown-Porcelain Fused to Noble Metal | $508 | $876 | $368 | 42% |  
        | D3330 | Root Canal - Molar (Excluding Final 
        Restoration) | $524 | $1,030 | $506 | 49% |  
        | D4260 | Osseous Surgery - Four or More Contiguous 
        Teeth or Bounded Teeth Spaces per Quadrant | $496 | $1,212 | $716 | 59% |  
        | D4341 | Periodontal Scaling and Root Planning - Four 
        or More Contiguous Teeth or Bounded Teeth Spaces per Quadrant | $123 | $219 | $96 | 44% |  
        | D4910 | Periodontal Maintenance | $57 | $132 | $75 | 57% |  
        | D5110 | Complete Denture - Maxillary | $693 | $1,398 | $705 | 50% |  
        | D5120 | Complete Denture - Mandibular | $693 | $1,398 | $705 | 50% |  
        | D7210 | Surgical Removal of Erupted Tooth | $99 | $217 | $118 | 54% |  
        | D7240 | Removal of Impacted Tooth - Completely Bony | $192 | $425 | $233 | 55% |  
        | D8080 | Comprehensive Orthodontic Treatment of the 
        Adolescent Dentition | $3,025 | . | . | . |  
        | D8090 | Comprehensive Orthodontic Treatment of the 
        Adult Dentition | $3,179 | . | . | . |  
        | D9110 | Palliative Treatment of Dental Pain | $40 | $97 | $57 | 59% |    |  
  
               
      
      
        
  | 
    This schedule is only to be used as a guide to 
    determine approximate prices for dental services in the geographic area 
    noted.  The fee schedule amount reflects average fee information currently 
    available on the Aetna Dental Access system.  Individual dentist fee schedules may differ.  
    We make no guarantee as to the accuracy of any particular fee amount.  
    In order to determine the specific rates for a dental provider, you should 
    contact the dental provider directly.
    
    
    Dentists participating in the program network have agreed to make certain 
    dental services and supplies available to you on a “discounted service” 
    basis. The term “discounted service” means a dental service that is 
    available to you at a reduced cost from fees normally charged by the dental 
    provider and for which you are solely financially responsible. All payments 
    to dental providers are due and payable at the time of service, unless 
    another payment arrangement is mutually agreed upon between you and the 
    treating dental provider. You shall be subject to the treating dental 
    provider’s late payment and other office policies.
     
    
    THIS PROGRAM IS NOT AN INSURANCE PLAN and we do not make payments directly 
    to healthcare services providers. It is a discount program and you are 
    obligated to pay for all healthcare services at time of service. You will 
    receive discounts for healthcare services from those providers who have 
    contracted with the plan. This plan is administered by National Benefit 
    Builders, In. (NBBI), 248 Columbia Turnpike, Florham, NJ 07932. The program 
    and its administrators, AccessOne Consumer Health, Inc. have no liability 
    for providing or guaranteeing service or the quality of service rendered. For questions or 
    complaints contact them at 8 Villa Road, Greenville, SC 29615 or at the 
    website www.accessonedmpo.com.  Note to Utah residents: This 
    program is not protected by the Utah Life and Health Guarantee Association. |    |  |