| ADA Service Code————————————————- | Usual Fee—- | Member Fee– | Discount % |
| D6210 Pontic – cast high noble metal | $847.00 | $500.00 | 41 % |
| D6211 Pontic – cast predominantly base metal | $804.00 | $450.00 | 44 % |
| D6212 Pontic – cast noble metal | $807.00 | $470.00 | 42 % |
| D6240 Pontic – porcelain fused high noble metal | $968.00 | $575.00 | 41 % |
| D6241 Pontic – Porcelain to base metal | $920.00 | $514.00 | 44 % |
| D6242 Pontic – Porcelain to Noble metal | $948.00 | $575.00 | 39 % |
| D6750 Abutment – Porcelain – High Noble metal | $968.00 | $575.00 | 41 % |
| D6751 Abutment – porcelain fused to base metal | $920.00 | $514.00 | 44 % |
| D6752 Abutment – Porcelain – to Noble Metal | $948.00 | $575.00 | 39 % |
| D6790 Abutment – full cast high noble metal | $850.00 | $500.00 | 41 % |
| D6791 Abutment – full cast base metal | $785.00 | $450.00 | 43 % |
| D6792 Abutment – full cast noble metal | $812.00 | $470.00 | 42 % |
| D6950 Precision attachment | $245.00 | $100.00 | 59 % |
| D6970 Cast post/core in addition to bridge | $399.00 | $150.00 | 62 % |