The sample table above is a small selection of common procedures covered by Patriot Health. Once you’re a member, you will be provided with a complete fee schedule with discounted fees for nearly every dental procedure. All procedures covered under Patriot Health offer similar savings to the sample above. If you are looking for a specific dental procedure that is not on this sample, please contact our Customer Care Center toll-free at (888) 632-5353 with the ADA Code of the procedure and we can provide the discounted fee.
1 The [“Price Without Plan”] is determined by DentalPlans.com, Inc., using benchmark data from FAIR Health, Inc. FAIR Health data is used under license. Fees may reflect combined fees from several different procedures into one procedure and may not be directly comparable to a specific benchmark in FAIR Health Data. Actual fees charged by your provider may vary for a variety of reasons
2Discounted fees are listed for visits to a participating provider. Any procedure not listed on the complete fee schedule (provided in your Member’s Area once you join) will be discounted 25% off the provider’s usual and customary fee. Any services not listed at either the general dentist or specialist (including pedodontics, prosthodontics and implantology) are available at a 25% discount from usual and customary fees charged by participating providers. One should verify provider participation and fees prior to beginning any treatment.
*One Per membership year- Procedures are free when combined with a Any combination of exam procedures (including Routine 6 Month Check-Up, Limited Oral Evaluation – Problem Focused, In Depth Check-Up) and X-Ray’s (including Full Mouth X-Rays, Individual X-Ray, Bitewing – Single/Two/Four Films, Panoramic Film) procedures are free when you get a prophylaxis procedures Adult Teeth Cleaning or Child Teeth Cleaning : $75 Adult, $55 Child. Otherwise when these procedures are performed outside of the annual check-up they are subject to 25% off the usual and customary rates.
All Patriot Health dental charges are set at the fees shown on DentalPlans.com website at the time of plan purchase. These fees are good for 12 months from the date of plan purchase. The remaining 3 months on the plan may be subject a higher fee schedule, and fees are subject to change without notice.
All participating providers may charge an OSHA sterilization fee per visit.
All participating providers may charge a lab fee for crown and bridge work.
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