Tiered Dental

NOTE: When you are making your appointment, be sure to mention that your membership has access to the Dental Directory Services, “DDS” dental network.

Call the toll-free Customer Care number on the back of your membership card to locate providers and to confirm that your selected dental provider accepts the DDS plan. Please remember to print out your fee schedule for reference.

A multi-tiered dental fee-for-service program, where you have access to dentists under THREE distinct scenarios.

Nice Smile
  • Tier 1: At select participating schedule (A) Tier 1 general practitioners across the country, you receive a no-charge** exam and x-rays in conjunction with a paid annual cleaning. Participating providers abide by a fee schedule of fixed payments for most procedures. Fixed schedule procedure rate savings are 25% - 60% on dental care, as compared to the American Dental Association surveys of usual and customary fees.
  • Tier 2: In the event a schedule (A) Tier 1 provider is not available in a given area, a secondary schedule participating dentist may be available at some of the lowest rates of any national dental network.
  • Tier 3: In the event a Tier 1 or Tier 2 dentist is not available in your area, please call a Customer Care Consultant for assistance in accessing a Tier 3 provider where available.

Sample Savings at Tier 1 Participating General Practitioner Dentists

Not available in all areas. Call Customer Care for a full listing of Tier 1 pricing.
DESCRIPTIONUHP FEE (A)
(You pay the dentist)
TYPICAL COST**
(Average Dental Fee)
SAVINGS
(Your Savings)
% of SAVINGS
ExamNo Charge***$76.00$76.00100%
Full X-raysNo Charge***$103.00$103.00100%
Total Check-up$58.00$265.00$207.0078%
Couple Savings$116.00$530.00$414.0078%
Family Savings$232.00$1,060.00$828.0078%
Filling: Amalgam-Silver$50.00$114.00$64.0056%
Filling: Resin-White$61.00$144.00$83.0058%
Crown-High$534.00$970.00$436.0045%
Crown-Base$473.00$898.00$425.0047%
Root Canal$428.00$893.00$465.0052%
Orthodontics$3,335.00$5,535.00$2,200.0040%
NOTE: Prices on schedule are subject to change without notice. Pricing may be higher if procedures are not being performed by a General Practitioner.
*Source: American Dental Association, Survey Center, 2006 Survey of Dental Fees.
**In conjunction with annual check-up prophylaxis (cleaning) provided by participating selected general practitioners of Tier 1.
*** There is no payment to the dentist from the plan, member pays doctor reduced fee. Note: network providers may not be available in some areas.

Annual Adult Check-Up Only $58.00

Included in check-up:
  • Prophylaxis cleaning, oral exam, oral evaluation, and full set of x-rays.
  • Typical Cost* $307.00

Annual Child Check-Up Only $40.00

Included in check-up:
  • Prophylaxis cleaning, oral exam, oral evaluation, and full set of x-rays.
  • Typical Cost* $284.00
Prices shown are subject to change without notice. Pricing may be higher if procedures are not being performed by a General Practitioner.

How to access this feature:

  1. Call the toll-free Customer Care number on the back of your membership card to locate a participating provider near you.
  2. Call to make an appointment. If you are visiting a Tier 1 or Tier 2 dentist, be sure to mention that your membership has access to the Dental Directory Services, “DDS” dental network.
  3. Present your membership card each time you visit your dentist’s office.
  4. Pay your dentist your special member rates directly, and enjoy the savings!***


Discount Medical Plans are provided by Patriot Health Florida, Inc., a discount medical plan organization. The features are not health insurance policies and are not available in all areas. The features provide discounts at certain health care providers for medical services and do not make payments directly to the providers of medical services. The member is obligated to pay for all health care services but will receive a discount from those health care providers who have contracted with Patriot Health Florida, Inc., located at 160 Eileen Way, Syosset, New York 11791, 1-800-292-3797. Discount Medical Plans are not available in all states.
THIS IS NOT HEALTH INSURANCE AND IS NOT INTENDED AS A SUBSTITUTE FOR INSURANCE
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