Da Vinci Dental Savings Plan Features**
- No waiting periods
- No claim forms to submit
- No dollar caps on services
- No limits on the number of visits
- No deductibles or maximums
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**This program is a discount plan, NOT a dental insurance plan, and is a secondary to any other dental plan. Restrictions apply
Annual Cost
$89
Individual
$119
2 Members
$139
Family
Examples of Savings
Procedure
Comprehensive Exam
Full Mouth X-Rays
Panoramic Radiographic Image
Limited(Emergency) Exam
Periodic Exam
Prophylaxis – Adult (Cleaning)
Porcelain Crown (Includes Core Buildup)
Total
UCR Fee*
$93
$144
$125
$82
$55
$98
$1705
$2302
Member Pays
NO CHARGE
NO CHARGE
NO CHARGE
NO CHARGE
NO CHARGE
$50
$1128
$1178
Savings
$93
$144
$125
$82
$55
$48
$577
$1124
Procedure Comprehensive Exam