ADA CodeProcedure DescriptionMember Discount
DIAGNOSTIC & PREVENTATIVE
2 Exam & X-Rays Per Year 100% off
D1110 Adult Cleaning 35% off
D1120 Child Cleaning 35% off
D1351 Sealant - Per Tooth 26% off
D1208 Topical Application of Fluoride 25% off
RESTORATIVE
D2330 Composite Filling - One Surface, Anterior 30% off
D2331 Composite Filling - Two Surface, Anterior 25% off
D2332 Composite Filling - Three Surface, Anterior 30% off
D2391 Composite Filling - One Surface, Posterior 35% off
D2392 Composite Filling - Two Surface, Posterior 35% off
D2393 Composite Filling - Three Surface, Posterior 26% off
D2740 Crown - Porcelain/Ceramic 19% off
D2750 Crown - Porcelain/High Noble Metal 11% off
D2790 Crown - Full Cast High Noble Metal 10% off
D2930 Crown - Prefab Stainless Steel Crown - Primary Tooth 11% off
D2950 Core Buildup 18% off
SPECIALTY
D3120 Pulp Cap - Indirect 20% off
D3320 Root Canal - Bicuspid 20% off
D3330 Root Canal - Molar 20% off
D7220/D7230 Remove 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.