The MRD Dental Plan Details
Annual Cost Paid With 12-month Agreement
The McDowell Road Dentistry Dental Plan is the perfect way for you and your family to save money on the dental care you need. Discounts range between 30-70% on covered treatment. Specialty service is not covered.
Diagnostic and Preventative
| Procedure |
Uninsured Fee |
MRD |
Savings |
| Office Co-Pay |
$5 |
$5 |
$0 |
| Comp Exam (D0150) |
$78 |
$0 |
$78 |
| Full Mouth X-Rays (D0210) |
$152 |
$50 |
$102 |
| Single X-Ray (D0220) |
$30 |
$0 |
$30 |
| Additional X-Rays Single (D0230) |
$30 |
$10 |
$20 |
| Adult Prophy (D1110) |
$90 |
$50 |
$40 |
| Child Prophy (D1120) |
$80 |
$40 |
$40 |
Restorative
| Procedure |
Uninsured Fee |
MRD |
Savings |
| 1 Surf Ant/ Fill Composite (D2330) |
$123 |
$85 |
$38 |
| 2 Surf Ant/ Fill Composite (D2331) |
$163 |
$105 |
$58 |
| 3 Surf Ant/ Fill Composite (D2332) |
$199 |
$110 |
$89 |
| 4 Surf Ant/ Fill Composite (D2335) |
$236 |
$150 |
$86 |
| 1 Surf Post/ Fill Composite (D2391) |
$143 |
$100 |
$43 |
| 2 Surf Post/ Fill Composite (D2392) |
$263 |
$125 |
$138 |
| 3 Surf Post/ Fill Composite (D2393) |
$333 |
$145 |
$188 |
| 4 Surf Post/ Fill Composite (D2394) |
$372 |
$225 |
$147 |
Crowns
| Procedure |
Uninsured Fee |
MRD |
Savings |
| Ceramic (D2740) |
$1,408 |
$850 |
$558 |
| Porcelain to Fused High Noble (D2750) |
$1,315 |
$750 |
$565 |
| Porcelain Fused to Base Metal (D2751) |
$1,055 |
$600 |
$455 |
| Build Up (D2950) |
$331 |
$135 |
$196 |
Periodontic
| Procedure |
Uninsured Fee |
MRD |
Savings |
| RPS (full quad) (D4341) |
$318 |
$130 |
$188 |
| RPS (1-3 teeth) (D4342) |
$174 |
$75 |
$99 |
| Perio Maintenance (D4910) |
$162 |
$75 |
$87 |
| Oral Irrigation (Per Quad) (D4999) |
$15 |
$10 |
$5 |
Endodontic
| Procedure |
Uninsured Fee |
MRD |
Savings |
| Anterior RCT (D3310) |
$828 |
$600 |
$228 |
| Bicuspid RCT (D3320) |
$994 |
$680 |
$314 |
| Molar RCT (D3330) |
$1,323 |
$860 |
$537 |
Dentures
| Procedure |
Uninsured Fee |
MRD |
Savings |
| Complete Upper Denture (D5110) |
$1,133 |
$650 |
$483 |
| Complete Lower Denture (D5120) |
$1,133 |
$650 |
$483 |
*Add $250 per denture for premium denture teeth and premium denture acrylic.
Oral Surgery
| Procedure |
Uninsured Fee |
MRD |
Savings |
| Extraction Simple (D7140) |
$156 |
$115 |
$41 |
| Extraction Surgical (D7210) |
$232 |
$190 |
$62 |
Orthodontics
| Procedure |
Uninsured Fee |
MRD |
Savings |
| Invisible braces |
$6000 |
$4000 |
$2000 |
| Metal braces |
$6000 |
$4000 |
$2000 |
* Should the services of a specialist be required, these fees will vary. Additional fees may apply depending on the services you need. Dental fees are subject to change without notice. The MRDDP may not be used in conjunction with any other insurance or discount plans.
*Any procedures not listed will receive a 15% discount from the usual customary fee.
