| ADA Service Code—————————————————- | Usual Fee—– | Member Fee– | Discount % |
| D5110 Complete denture-maxillary | $1,628.00 | $645.00 | 60 % |
| D5120 Complete denture-mandibular | $1,650.00 | $645.00 | 61 % |
| D5130 Complete Immed denture-maxillary | $1,800.00 | $695.00 | 61 % |
| D5140 Complete Immed denture-mandibular | $1,800.00 | $695.00 | 61 % |