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APPLETON DENTAL PLAN, YOUR PLAN.
Appleton Dental Plan
is an innovative and cost-effective alternative to traditional
dental insurance plans for residents of Arizona. It also
includes vision benefits. It is our desire to see that you
understand the benefits to which you are entitled.
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APPLETON IS NOT INSURANCE.
Appleton Dental Plan
is a discount dental plan, not dental insurance. The Plan has
many of the same benefits and few of the restrictions of traditional
health insurance. Benefits include no yearly maximum, no
pre-existing clauses, and no waiting periods. You will find
the Plan is easy to understand and without “fine print,” claim
forms, preapprovals or other cumbersome bureaucracy.
A PLAN
THAT’S SIMPLE.
The benefits of
Appleton Dental Plan are quite simple to enjoy. You will pay
the dentist directly for services rendered, according to the fee
schedule. There will be no forms to submit or time spent
waiting for pre-approvals and coverage rates. It is our policy
not to get involved in the dentist/patient relationship or dictate
treatment plans or procedures.
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CHECK OUT YOUR SAVINGS WITH APPLETON DENTAL PLAN
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ADA
Code
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Procedure
|
Usual Fee |
Member
Fee |
Member
Savings |
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0120 |
Routine 6 Month Check Up |
$ 43 |
$ 15 |
$ 28 |
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0210 |
Full Mouth X-rays |
$103 |
$ 25 |
$ 78 |
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0274 |
Bitewings – four |
$ 55 |
$ 20 |
$ 35 |
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0330 |
Panoramic Film |
$ 90 |
$ 30 |
$ 60 |
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1110 |
Adult Cleaning |
$ 77 |
$ 35 |
$ 42 |
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1120 |
Child Cleaning |
$ 55 |
$ 30 |
$ 25 |
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2140 |
Amalgam 1 surface
(silver filling) |
$139 |
$ 56 |
$ 83 |
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2330 |
Composite 1 surface
(white filling) |
$123 |
$ 63 |
$ 60 |
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2750 |
Crown porcelain high
noble |
$889 |
$595 |
$294 |
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2950 |
Core buildup, including
pins |
$234 |
$120 |
$114 |
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2952 |
Cast post & core in
addition to crown |
$403 |
$155 |
$248 |
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3310 |
Root canal – anterior |
$582 |
$385 |
$197 |
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3320 |
Root canal – bicuspid |
$654 |
$450 |
$204 |
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3330 |
Root canal – molar |
$808 |
$595 |
$213 |
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4341 |
Periodontal scaling/root planing |
$204 |
$110 |
$ 94 |
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7140 |
Extraction, erupted
tooth or exposed root |
$166 |
$ 95 |
$ 71 |
To explore Appleton Dental
Plan's Fee Schedule further, you may review the entire
document in PDF format
here. (54Kb download)
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CHOOSE A PLAN,
START SAVING.
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General Plan
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Annual
Cost
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Individual |
$60.00 |
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Individual
Plus One |
$80.00 |
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Family |
$120.00 |
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Group
Plan
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Monthly Cost
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Under
50 |
Over
50 |
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Individual |
$6.50 |
$5.00 |
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Individual
Plus One |
$8.75 |
$6.67 |
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Family |
$13.50 |
$10.00 |
Sign up for membership
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OUR COMMITMENT
TO YOU
It is our intention that you
find your association with us professional, successful and beneficial; and
we will do all in our power to see that you are satisfied at all times with
Appleton Dental Plan. Our members are our greatest asset, and we value
your participation in our Plan! Please feel free to contact the
Appleton Dental Plan management and staff at any time with questions or
comments.
Appleton Dental Plan
7337 E. Shoeman Lane
Scottsdale, AZ
85251
Toll-Free
866.576.4531
Phoenix Area
602.957.6453
Fax 480.941.4390
Office Hours:
Monday through
Friday
8:30am - 5pm.
Disclaimer
Privacy Policy
Terms &
Conditions |
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