SecureDent® Prices by Procedure Code


CodeProcedureAve FeeSecureDent®
Member Savings
120Periodic oral exam$ 70$ 25$ 45
140Limited Exam per visit$ 89$ 45$ 44
150Initial oral exam$ 101$ 38$ 63
210X rays full mouth series$ 156$ 59$ 97
220X rays Intraoral perlapical first film$ 35$ 13$ 22
230X rays Intraoral periapical each film$ 27$ 9$ 18
270X rays bitewings single film$ 34$ 14$ 20
272X rays bitewings two films$ 52$ 22$ 30
274X rays bitewings four films$ 75$ 32$ 43

PREVENTIVE

CodeProcedureAve FeeSecureDent®Member Savings
1110Prophylaxis (cleaning & polishing) Adult$ 112$ 59$ 53
1120Prophylaxis (cleaning & polishing) Child$ 83$ 49$ 34