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Program Membership Fee Individual: $129.95 per year Family: $169.95 per year	Program Highlights  1,400 general dentists in the Virginia, Delaware, Maryland, Pennsylvania and Washington, D.C  No Charge Examinations  No Charge Annual Teeth Cleaning  No Charge Fluoride Treatments
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Program Summary
The Dominion 6000X Individual Program has over 1,400 participating dentists in Virginia, Delaware, Maryland, Pennsylvania and Washington, D.C. In addition to providing great savings on over 200 dental procedures, this program features FREE cleanings and FREE checkups throughout the year for individuals and families.
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Sample Discounted Fees and Savings
Procedure Description Usual Fee 1 Discounted Fee (for Plan Members) 2 Member Savings Routine 6 Month Check-Up $43 $0 $43 In Depth Check-Up $69 $0 $69 Full Mouth X-Rays $114 $66 $48 Four Bitewing X-Rays $55 $31 $24 Panoramic Film $97 $59 $38 Adult Teeth Cleaning $83 $0 $83 Child Teeth Cleaning $62 $0 $62 Protective Sealant / Tooth $46 $28 $18 1 Surface White Filling for U or L Front Tooth $135 $76 $59 Single Crown - Porcelain on High Noble Metal $981 $644 $337 Single Crown - Porcelain on Noble Metal $912 $644 $268 Core Build-Up With Pins $238 $158 $80 Root Canal Treatment - Front Tooth $636 $358 $278 Root Canal Treatment - Bicuspid $757 $429 $328 Root Canal Treatment - Molar $919 $526 $393 Perio Scaling and Root Planing (Per Quadrant) $217 $126 $91 Full Upper Denture $1,353 $778 $575 Tooth Replacement Part of Permanent Bridge $911 $644 $267 Single Tooth Removal - Surgical Extraction $138 $81 $57
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The sample table above is a small selection of common procedures discounted by the Dominion plan.  Once you're a member, you will be provided with a complete schedule of benefits with discounted fees for nearly every dental procedure.  All procedures discounted under the Dominion 6000X Individual Program offer similar savings to the sample above. 1 Source: DentalPlans.com (DP.C) 2007 Survey of Sample Average National Dental Fees.  Fees may vary slightly by region. 2 Discounted fees are listed for visits to a participating general dentist - this fee is guaranteed according to your schedule of benefits. Any procedure not listed on the complete schedule of benefits (provided in your members area once you join) will be discounted 25% off the provider's usual and customary fee.  Consult with your provider prior to beginning any treatment. Lab fees are additional.
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