ADA CodeProcedure DescriptionMember Discount
DIAGNOSTIC & PREVENTATIVE
2 Exam & X-Rays Per Year100% off
D1110Adult Cleaning 35% off
D1120Child Cleaning 35% off
D1351Sealant - Per Tooth 25% off
D1208Topical Application of Fluoride 25% off
RESTORATIVE
D2330Composite Filling - One Surface, Anterior30% off
D2331Composite Filling - Two Surface, Anterior30% off
D2332Composite Filling - Three Surface, Anterior30% off
D2391Composite Filling - One Surface, Posterior30% off
D2392Composite Filling - Two Surface, Posterior30% off
D2393Composite Filling - Three Surface, Posterior30% off
D2740Crown - Porcelain/Ceramic30% off
D2750Crown - Porcelain/High Noble Metal30% off
D2790Crown - Full Cast High Noble Metal30% off
D2930Crown - Prefab Stainless Steel Crown - Primary Tooth30% off
D2950Core Buildup30% off
SPECIALTY
D3120Pulp Cap - Indirect20% off
D3320Root Canal - Bicuspid20% off
D3330Root Canal - Molar20% off
D7220/D7230Remove of Impacted Tooth30% off
Orthodontic Treatment$400 off
In Office Whitening$199 per arch

*Free Exams & X-Rays are limited to 2x per year per member. Services listed on Savings Summary, with the exception of orthodontic services, will be performed by a participating general dentist. In some cases, certain procedures may not be within the scope of practice or the ability of the general dentist. If a specialist participating in Rodeo Roundup Plan is available to perform these procedures, they will be provided at a 30-50% discount off the participating specialist’s usual and customary fee.