DISCOUNT PROGRAM The Discount Program1 offers substantial discounts on most dental procedures. Your general dentist will provide almost all services and charge you according to a discounted fee schedule. Discount Program members have access to one of the largest Discount networks in the Mid-Atlantic. In fact, 98% of members have access to 2 dentists within 10 miles of their homes.2 no waiting periods, annual maximum limits, preauthorization requirements or deductibles. You will pay only the discounted member fees directly to your dentist at the time of service. If specialty care is required, your dentist will refer you to a participating specialist who will provide care at a 25% discount. DISCOUNT PROGRAM SERVICES include NO CHARGE for routine annual cleaning ADDITIONAL CLEANING covered for diabetics and expecting mothers provided at a discount ORTHODONTICS (adults and children) FIXED FEES for dental procedures DISCOUNT on all implant services "NO-CHARGE" PROCEDURES account for over 35% of dental services most frequently performed for adults, and 60% of the most frequently performed services for children.3 EXTENSIVE CARE FEES ARE 55% LOWER THAN USUAL & CUSTOMARY CHARGES (SUCH AS FILLINGS, CROWNS, DENTURES, ROOT CANALS, PERIODONTAL CARE, ORAL SURGERY, IMPLANT SERVICES, ETC.) ORTHODONTIA DISCOUNTS FOR ADULTS AND CHILDREN! ANNUAL SAVINGS ON THE MOST COMMONLY PERFORMED DENTAL PROCEDURES.4 The example below is based on an individual subscriber (age 30) and includes how much you may pay in a year. service avg cost4 you pay you save Comprehensive Oral Exam $73 $0 $73 Complete Series X-rays $190 $66 $124 Adult Cleaning (Includes 1 per year) $122 $0 $122 Filling (3-Surface/Silver) $345 $107 $238 Crown (Porcelain/Metal) $1,278 $677 $601 Total Spent in Program Fee – $90 – Total Spent in Office Fees ($15/visit for 3 visits)5 – $45 – TOTALS $2,008 $985 $1,158 ADDITIONAL SAVINGS ON MAJOR PROCEDURES service avg cost4 you pay you save Root Canal (Anterior Tooth) $1,157 $413 $744 Extraction, Erupted Tooth $235 $85 $150 Complete Denture $2,218 $895 $1,323 Perio Scaling/Root Planing $346 $138 $208 1 There are fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms or proof of loss (except in the case of out-of-area emergencies). 2 Dominion National Network Analysis Report, 2021. Mid-Atlantic includes D.C., Delaware, Maryland, New Jersey, Pennsylvania and Virginia. Participating dentists are subject to change. 3 Dominion National - based on annual review of utilization data. 4 Based on the Context4Healthcare’s 80th percentile for zip 220. Coverage for orthodontia is based on Dominion National’s 80th percentile of in-network and out-of-network claims data for D8080 and D8090 from 2016-2019. 5 Assumes oral exam, X-rays, cleaning and filling occur in the same visit and crown requires two visits. Also assumes first crown treatment and cleaning occur in the same visit.