Dental Care
All of our member plans give you access to quality dental care. For just $15 more a month, you can get even more savings with our Dental Plus Plan.
DENTAL CARE
| Basic Dental Plan | Dental Plus Plan | |
| Plan Benefits | Our standard discount plan. Services are provided at the listed fees found in our member handbook. | All standard discounts included as well as fixed co-payments that provide additional savings of 50-60% of usual fees charged by dentists. |
| Diagnostic & Preventative Procedures | All diagnostic and preventative procedures are provided at the listed rate found in our member handbook. | Most diagnostic and preventative procedures are provided at no cost to Sun Health and Dental members. |
| Upgraded metals for crowns | Additional charge of up to $200 per crown or denture. | Additional charge of up to $150 per crown or denture. |
| Laboratory fees | Additional charge of up to $200 per unit. | Additional charge of up to $75 per unit. |
Comparison of the most commonly used procedures
| ADA Code | Description | Average Dentist Charge |
Member Pays | |
| Dental Basic Plan | Dental Plus Plan | |||
| Diagnostic | ||||
| D0120 | Periodic Oral Exam | $54.00 | $20.00 | No Charge |
| D0140 | Limited Oral Evaluation - Problem focused | $89.00 | $15.00 | No Charge |
| D0150 | Comprehensive Oral Evaulation - Once annually | $79.00 | No Charge | No Charge |
| X-Rays | ||||
| D0210 | Intraoral Complete Series - Once every 3 years | $110.00 | $30.00 | No Charge |
| D0220 | Periapical First Film | $26.00 | $15.00 | No Charge |
| D0230 | Periapical Each Additional Film | $22.00 | $5.00 | No Charge |
| D0270 | Bitewing - Single Film, Once a year | $54.00 | $5.00 | No Charge |
| D0272 | Bitewing - Two Films, Once a year | $54.00 | $5.00 | No Charge |
| D0330 | Panoramic X-Rays, Once every 3 years | $100.00 | $25.00 | No Charge |
| Preventative | ||||
| D1110 | Routine Adult Prophylaxis, Once every 6 months | $108.00 | $49.00 | No Charge |
| D1120 | Routine Child Prophylaxis, Once every 6 months | $65.00 | $35.00 | No Charge |
| D1208 | Topical application of Fluoride | $30.00 | No Charge | No Charge |
| Restorative Fillings | ||||
| D2330 | Resin - 1 Surface, Anterior | $152.00 | $65.00 | $40.00 |
| D2331 | Resin - 2 Surfaces, Anterior | $178.00 | $65.00 | $45.00 |
| D2332 | Resin - 3 Surfaces, Anterior | $200.00 | $75.00 | $55.00 |
| Fixed Crown and Bridge | ||||
| D2740 | Crown - Porcelain/Ceramic Structure* | $899.00 | $650.00 | $460.00 |
| D2750 | Crown - Porcelain fused to High Noble Metal* | $1,000.00 | $795.00 | $535.00 |
| Endodontics (Root Canals) | ||||
| D3310 | Root Canal - Anterior | $767.00 | $350.00 | $150.00 |
| D3320 | Root Canal - Bicuspid | $865.00 | $450.00 | $250.00 |
| D3330 | Root Canal - Molar | $1,064.00 | $550.00 | $300.00 |
| Periodontics (Gum treatment) | ||||
| D4341 | Periodontal Scaling and Root planning, per quadrant | $239.00 | $70.00 | $55.00 |
| D4355 | Full Mouth Debridement | $110.00 | $80.00 | $50.00 |
| Oral Surgeries (Extraction) | ||||
| D7140 | Extraction of Erupted or Exposed Tooth | $161.00 | $70.00 | $25.00 |
| D7210 | Surgical Extraction, Erupted Tooth | $264.00 | $240.00 | $45.00 |
| D7220 | Soft Tissue Impaction | $350.00 | $300.00 | $60.00 |
| D7230 | Partial Bony Impaction | $446.00 | $395.00 | $80.00 |
| Orthodontics | ||||
| D8080 | Comprehensive Orthodontic Treatment - Child | $4,938.00 | $4,100.00 | $2,800.00 |
| D8090 | Comprehensive Orthodontic Treatment - Adult | $5,130.00 | $4,500.00 | $3,000.00 |
Why Is Dental Coverage Important?
Dental health is tied to your overall health. Routine dental exams can detect symptoms of more than
125 diseases. Regular checkups and cleanings can save you the pain and expense of future problems
down the road.
Free check-ups, cleanings and x-rays:
Sun Health & Dental prioritizes our members oral health, by offering them access to quality and
affordable dental care. We even offer certain preventive dental care procedures for free. Our plans
include preventive care, as well as reconstructive, diagnostic, x-ray and periodontal care. Members
can visit their chosen participating dentist for these procedures as often as necessary.
Simple plan, smaller payments:
There are never deductibles, annual maximums or waiting periods. The Sun Health & Dental benefits
timeline provides all the details about the procedures and costs covered, including lab fees and
high quality noble metals. Members pay only the contracted rates.
Our Promise:
Sun Health & Dental's Dental Plan aims to meet the needs of our members. Our plan includes a benefit schedule that details all covered procedures and contracted prices.
Please contact our office for more information or to schedule an appointment with the nearest dental
clinic at (855) 786-0626.