SAVINGS SUMMARY
We're committed to provide the industry's most affordable dental services. No exceptions. Make the move to Rodeo Dental, you'll see and feel the difference!
| ADA Code | Procedure Description | Member Pays* |
|---|---|---|
| DIAGNOSTIC & PREVENTATIVE | ||
| 2 Exam & X-Rays Per Year | 100% off | |
| D0120 | Periodic Exam | 50% off |
| D0140 | Limited Oral Evaluation - Problem Focused | 50% off |
| D0150 | Comprehensive Oral Evaluation | 50% off |
| D0210 | Full Mouth X-Rays | 50% off |
| D0220 | Periapical X-Ray | 50% off |
| D0272 | Bitewings - 2 Images | 50% off |
| D0274 | Bitewings - 4 Images | 50% off |
| D0330 | Panoramic X-Rays | 50% off |
| D1110 | Adult Cleaning | 50% off |
| D1120 | Child Cleaning | 50% off |
| D1351 | Sealant - Per Tooth | 50% off |
| D4341 | Perio Scaling/Root Planing - 4+ teeth | 50% off |
| D4342 | Perio scaling / root planing - 1-3 teeth per quad | 50% off |
| D4910 | Periodontal Maintenance | 50% off |
| D1208 | Topical Application of Fluoride | 50% off |
| RESTORATIVE | ||
| D2330 | Composite Filling - One Surface, Anterior | 50% off |
| D2331 | Composite Filling - Two Surface, Anterior | 50% off |
| D2332 | Composite Filling - Three Surface, Anterior | 50% off |
| D2391 | Composite Filling - One Surface, Posterior | 50% off |
| D2392 | Composite Filling - Two Surface, Posterior | 50% off |
| D2393 | Composite Filling - Three Surface, Posterior | 50% off |
| D2740 | Crown - Porcelain/Ceramic | 30% off |
| D2750 | Crown - Porcelain/High Noble Metal | 30% off |
| D2790 | Crown - Full Cast High Noble Metal | 30% off |
| D2930 | Crown - Prefab Stainless Steel Crown - Primary Tooth | 30% off |
| D2950 | Core Buildup | 30% off |
| SPECIALTY | ||
| D3120 | Pulp Cap - Indirect | 30% off |
| D3320 | Root Canal - Bicuspid | 30% off |
| D3330 | Root Canal - Molar | 30% off |
| D7140 | Simple Extraction | 30% off |
| D7210 | Surgical Extraction | 30% off |
| D7220/D7230 | Removal of Impacted Tooth | 30% 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.