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The Liberty Program of America offers big savings on dental health care. You can save 40-60% on your dental treatment!
Here's how the program works. A small annual fee is
charged for membership into the Program. In return,
you have access to a network of dentists in your
area who participate with the program. Once in the
program, you are entitled to heavily discounted fees. The discounted fees are listed in the fee
schedule and can be up to 50% off from what you would
pay without insurance. Almost every dental procedure
is covered, so imagine never paying full price for
dental treatment again. General dentists as well as
dental specialists participate with the program, so
it is unlikely that you would ever need a procedure
that would not be covered. From cosmetic dentistry to dental implants, we offer discounted dental coverage to our members. If in the unlikely event
that a procedure is not covered, participating
providers have agreed to give a 25% discount off of
their traditional fees. Below is a comparison of
traditional fees for some common procedures: |
|
PROCEDURE |
|
TRADITIONAL FEE |
|
LIBERTY PROGRAM |
|
SAVINGS |
|
|
Comprehensive Exam |
|
$270.00 |
|
$125.00 |
|
$145.00 |
|
|
1 Surface |
|
$110/$135 |
|
$65/$85 |
|
$45/$50 |
|
|
2 Surface |
|
$130/$145 |
|
$80/$100 |
|
$50/$45 |
|
|
Porcelain crown |
|
$980.00 |
|
$775.00 |
|
$205.00 |
|
|
Root Canal (molar) |
|
$920.00 |
|
$675.00 |
|
$245.00 |
|
|
Diagnostic Services (Initial Visit) |
|
| D0150 |
Comprehensive Oral Exam |
|
$25.00 |
| D0120 |
Periodic Oral Exam |
|
$25.00 |
| D0210 |
Intraoral Complete Series of x-rays |
|
$50.00 |
| D0330 |
Panoramic x-ray |
|
$50.00 |
| D0220 |
Intraoralx-ray film, first |
|
No Charge* |
| D0230 |
Intraoral x-ray film, add'l |
|
No Charge* |
| D0272 |
Bitewing x-rays, two |
|
No Charge* |
| D0274 |
Bitewing x-rays, four |
|
No Charge* |
| D1110 |
Cleaning and polishing |
|
$50.00 |
| D9999 |
Oral cancer screening |
|
No Charge* |
|
|
|
Diagnostic Services (After Initial Visit) |
|
| D0120 |
Periodic Oral Exam |
|
$35.00 |
| D0140 |
Focused Oral Exam |
|
$35.00 |
| D0210 |
Intraoral Complete Series of x-rays |
|
$50.00 |
| D0220 |
Intraoral x-ray film, first |
|
$8.00 |
| D0230 |
Intraoral x-ray film, add'l |
|
$4.00 |
| D0272 |
Bitewing x-ray single |
|
$8.00 |
| D0272 |
Bitewing x-ray second |
|
$16.00 |
| D0274 |
Bitewing x-rays, four |
|
$25.00 |
| D0330 |
Panoramic film |
|
$50.00 |
| D9998 |
Sterile Pack (each visit) |
|
$5.00 |
|
|
|
| D1110 |
Prophylaxis-adult (polishing & cleaning) |
|
$50.00 |
| D1120 |
Prophylaxis-child to age 16 |
|
$30.00 |
| D1203 |
Topical Application of
fluoride (including prophylaxis-child) |
|
$40.00 |
| D1351 |
Sealant-per tooth |
|
$20.00 |
| D1550 |
Recement space maintainer |
|
$20.00 |
| D151 |
Space Maintainer-fixed unilateral |
|
$145.00 |
| D1515 |
Space Maintainer-fixed
bilateral |
|
$185.00 |
|
|
|
| D2140 |
Amalgam-1 surface, permanent or primary |
|
$65.00 |
| D2150 |
Amalgam-2 surface, permanent or primary |
|
$80.00 |
| D2160 |
Amalgam-3 surface, permanent or primary |
|
$95.00 |
| D2161 |
Amalgam-4 surface, permanent or primary |
|
$125.00 |
| D2330 |
Resin-1surface, anterior |
|
$85.00 |
| D2331 |
Resin-2 surface, anterior |
|
$100.00 |
| D2332 |
Resin-3 surface, anterior |
|
$125.00 |
| D2335 |
Resin-4+ surfaces, anterior, incl. Incisal angle |
|
$160.00 |
| D2380 |
Resin-1 surface, post, primary |
|
$70.00 |
| D2381 |
Resin-2 surface, post primary |
|
$90.00 |
| D2382 |
Resin-3 surface post, primary |
|
$115.00 |
| D2391 |
Resin-1 surface, post, permanent |
|
$80.00 |
| D2392 |
Resin-2 surface, post permanent |
|
$105.00 |
| D2393 |
Resin-3 surface, post permanent |
|
$125.00 |
| D2394 |
Resin-4 surface, post, permanent |
|
$165.00 |
| D2610 |
Inlay-porcelain/ceramic-1surf |
|
$350.00 |
| D2620 |
Inlay-porcelain/ceramic-2surf |
|
$450.00 |
| D2630 |
Inlay-porcelain/ceramic-3surf |
|
$550.00 |
| D2740 |
Crown, All porcelain |
|
$775.00 |
| D2750 |
Crown, Porcelain High noble |
|
$775.00 |
| D2752 |
Crown , porcelain/semi precious |
|
$650.00 |
| D2920 |
Recement crown |
|
$55.00 |
| D2930 |
Prefab'd stainless steel crown |
|
$100.00 |
| D2931 |
Prefab'd stainless steel crown permanent tooth |
|
$165.00 |
| D2932 |
Prefabricated resin crown |
|
$150.00 |
| D2940 |
Sedative filling |
|
$60.00 |
| D2950 |
Crown Buildup |
|
$100.00 |
| D2952 |
Prefab'd stainless steel crown permanent |
|
$180.00 |
| D2954 |
Prefabricated post and core |
|
$150.00 |
| D2970 |
Temporary crown |
|
$150.00 |
|
|
|
| D3110 |
Pulp cap-direct (excl.final rest.) |
|
$20.00 |
| D3120 |
Pulp cap-indirect (excl. final rest.) |
|
$20.00 |
| D3310 |
Root canal, Anterior (excl.rest.) |
|
$400.00 |
| D3220 |
Therapeutic Pulpotomy (excl. rest.) |
|
$125.00 |
| D3320 |
Root canal, Bicuspid (excl.rest.) |
|
$500.00 |
| D3330 |
Root canal, Molar (excl. rest.) |
|
$675.00 |
| D3340 |
Root canal, Molar 4 or more canals |
|
$725.00 |
|
|
|
| D4210 |
Gingivectomy or gingivoplasty per quadrant |
|
$275.00 |
| D4211 |
Gingivectomy or gingivoplasty per tooth |
|
$70.00 |
| D4240 |
Gingival flap procedure incl. Root planing, per quadrant |
|
$450.00 |
| D4260 |
Osseous surgery, incl. Flap per quadrant |
|
$575.00 |
| D4270 |
Pedicle soft tissue graft |
|
$350.00 |
| D4341 |
Periodontal scaling/ root planing per quadrant |
|
$105.00 |
| D4345 |
Periodontal scaling in the presence of gingival inflammation |
|
$80.00 |
| D4910 |
Periodontal maintenance (following therapy) |
|
$90.00 |
|
|
|
Prosthodontics, Procedures (removable) |
|
| D5110 |
Complete upper denture, incl. 6 months post-insertion care |
|
$750.00 |
| D5120 |
Complete lower denture, incl. 6 months post-insertion care |
|
$750.00 |
| D5130 |
Immediate upper denture, incl. 6 months post-insertion care |
|
$800.00 |
| D5140 |
Immediate lower denture, incl. 6 months post-insertion care |
|
$800.00 |
| D5211 |
Upper partial denture-acrylic base, incl. clasps and rests |
|
$500.00 |
| D5212 |
Lower partial denture-acrylic base, incl. Clasps and rests |
|
$500.00 |
| D5213 |
Upper partial denture-cast base with acrylic saddles |
|
$850.00 |
| D5214 |
Lower partial denture-cast base with acrylic saddles |
|
$850.00 |
| D5410 |
Adj. complete denture-upper |
|
$55.00 |
| D5411 |
Adj. complete denture-lower |
|
$55.00 |
| D5421 |
Adj. partial denture-upper |
|
$55.00 |
| D5422 |
Adj. partial denture-lower |
|
$55.00 |
| D5510 |
Repair broken complete denture base |
|
$225.00 |
| D5520 |
Replace missing/broken tooth |
|
$85.00 |
| D5610 |
Repair partial denture saddle or base |
|
$85.00 |
| D5620 |
Repair cast metal framework |
|
$105.00 |
| D5630 |
Repair or replace partial denture clasp |
|
$90.00 |
| D5640 |
Replace broken tooth-partial denture |
|
$85.00 |
| D5650 |
Add tooth to existing partial |
|
$85.00 |
| D5660 |
Add clasp to existing partial |
|
$120.00 |
| D5730 |
Reline complete upper denture (chairside) |
|
$190.00 |
| D5731 |
Reline complete lower denture (chairside) |
|
$190.00 |
| D5740 |
Reline upper partial denture (chairside) |
|
$140.00 |
| D5741 |
Reline lower partial denture (chairside) |
|
$140.00 |
| D5750 |
Reline complete upper (lab) |
|
$250.00 |
| D5751 |
Reline complete lower (lab) |
|
$250.00 |
| D5760 |
Reline partial upper (lab) |
|
$200.00 |
| D5761 |
Reline partial lower (lab) |
|
$200.00 |
|
|
|
Prosthodontics Procedures (fixed) |
|
| D6010 |
Endosteal implant placement |
|
$1,200.00 |
| D6057 |
Custom abutment |
|
$500.00 |
| D6061 |
Implant retainer for bridge |
|
$1,000.00 |
| D6066 |
Implant crown |
|
$1,000.00 |
| D6199 |
Implant pontic |
|
$1,000.00 |
| D6242 |
Pontic-porcelain to semi-precious |
|
$650.00 |
| D6545 |
Cast metal retainer for acid etch bridge |
|
$225.00 |
| D6752 |
Crown (abutment) porcelain, semi-prec. |
|
$650.00 |
| D6930 |
Recement bridge |
|
$75.00 |
|
|
|
| D7140 |
Extraction (simple) single tooth |
|
$90.00 |
| D7210 |
Surgical removal of erupted tooth requiring elevation of flap/sectioning |
|
$130.00 |
| D7250 |
Surgical removal of residual tooth roots (cutting procedure) |
|
$160.00 |
| D7310 |
Alveoplasty in
conjunction with extractions (per quadrant) |
|
$85.00 |
| D7320 |
Alveoplasty not in conjunction with extractions (per quadrant) |
|
$180.00 |
| D7971 |
Excision of pericoronal gingival |
|
$125.00 |
|
|
|
| D9110 |
Palliative treatment |
|
$30.00 |
| D9230 |
Nitrous Oxide |
|
$45.00 |
|
|
|
| D2960 |
Laminate veneer (chairside) |
|
$500.00 |
| D2962 |
Laminate veneer (lab) |
|
$700.00 |
| D9972 |
Bleaching (per arch) |
|
$160.00 |
| D9974 |
Bleaching (per tooth/internal) |
|
$75.00 |
|
|
|
Please Note:
Procedures not listed are available at a 25% discount from usual and customary fees charged by participating General Practitioners.
All fees listed are paid directly to the participating dentist.
Procedures done by participating specialists are available at a 25% discount from their usual and customary fees. Fees updated 2009.
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