EDP Dental Plan

Cash prices

1. Add Clasp to Existing Partial Denture

   Code D5660

   Ask what's included
   $120

   Per clasp added to an existing partial denture. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress exc…

   Source: edpdental.com · checked Oct 2026
2. Add Tooth to Existing Partial Denture

   Code D5650

   Ask what's included
   $92

   Per tooth added to an existing partial denture. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress exc…

   Source: edpdental.com · checked Oct 2026
3. Each Additional Extraction

   Standard service: Additional tooth extraction

   Ask what's includedAddon
   $95 per unit

   Per additional extraction; initial single extraction is $120. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in pro…

   Source: edpdental.com · checked Oct 2026
4. Amalgam – 1 Surface, Permanent

   Standard service: Amalgam filling (1 surface)

   Code D2140

   Ask what's included
   $95 per unit

   Per one-surface filling in a permanent tooth. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in progress excluded.

   Source: edpdental.com · checked Oct 2026
5. Amalgam – 2 Surfaces, Permanent

   Standard service: Amalgam filling (2 surfaces)

   Code D2150

   Ask what's included
   $125 per unit

   Per two-surface filling in a permanent tooth. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in progress excluded.

   Source: edpdental.com · checked Oct 2026
6. Amalgam – 3 Surfaces, Permanent

   Standard service: Amalgam filling (3 surfaces)

   Code D2160

   Ask what's included
   $145 per unit

   Per three-surface filling in a permanent tooth. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in progress excluded…

   Source: edpdental.com · checked Oct 2026
7. Amalgam – 4 or more Surfaces, Permanent

   Standard service: Amalgam filling (4+ surfaces)

   Code D2161

   Ask what's included
   $195 per unit

   Per filling covering 4+ surfaces in a permanent tooth. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in progress e…

   Source: edpdental.com · checked Oct 2026
8. X-Rays – Bitewing – Single Film

   Standard service: Bitewing X-ray (1 film)

   Code D0270

   Ask what's included
   $16

   One bitewing film. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in progress excluded.

   Source: edpdental.com · checked Oct 2026
9. X-Rays – Bitewing – Two Films

   Standard service: Bitewing X-rays (2 images)

   Code D0272

   Ask what's included
   $30

   Two bitewing films. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in progress excluded.

   Source: edpdental.com · checked Oct 2026
10. X-Rays – Bitewing – Four Films

    Standard service: Bitewing X-rays (4 films)

    Code D0274

    Ask what's included
    $45

    Four bitewing films. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
11. Pontic — Porcelain/Predominantly Base Metal

    Standard service: Bridge pontic (porcelain fused to base metal)

    Code D6241

    Ask what's included
    $635

    Per pontic (replacement tooth in a bridge). EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress exclude…

    Source: edpdental.com · checked Oct 2026
12. Pontic – Porcelain/High Noble Metal

    Standard service: Bridge pontic (porcelain fused to high noble metal)

    Code D6240

    Ask what's included
    $785

    Per pontic (replacement tooth in a bridge). EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress exclude…

    Source: edpdental.com · checked Oct 2026
13. Pontic – Porcelain/Noble Metal

    Standard service: Bridge pontic (porcelain fused to noble metal)

    Code D6242

    Ask what's included
    $655

    Per pontic (replacement tooth in a bridge). EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress exclude…

    Source: edpdental.com · checked Oct 2026
14. Cast Post/Core (Addition to Crown)

    Standard service: Cast post and core

    Code D2952

    Ask what's includedAddon
    $210

    Additional to crown; crown charged separately. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress excl…

    Source: edpdental.com · checked Oct 2026
15. Complete Lower Denture

    Standard service: Complete denture (lower)

    Code D5120

    Ask what's included
    $845

    Lower denture only. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
16. Complete Upper Denture

    Standard service: Complete denture (upper)

    Code D5110

    Ask what's included
    $845

    Upper denture only. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
17. Adjust Denture (Lower)

    Standard service: Complete denture adjustment (lower)

    Code D5411

    Ask what's included
    $65

    Lower denture adjustment only. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
18. Adjust Denture (Upper)

    Standard service: Complete denture adjustment (upper)

    Code D5410

    Ask what's included
    $65

    Upper denture adjustment only. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
19. Repair Broken Complete Denture Base

    Standard service: Complete denture base repair

    Ask what's included
    $105

    EDP membership required; membership cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
20. Resin – 1 Surface, Anterior

    Standard service: Composite filling (1 surface, anterior)

    Code D2330

    Ask what's included
    $105 per unit

    Per one-surface filling in an anterior tooth. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
21. Resin – 2 Surfaces, Anterior

    Standard service: Composite filling (2 surfaces, anterior)

    Code D2331

    Ask what's included
    $130 per unit

    Per two-surface filling in an anterior tooth. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
22. Resin – 3 Surfaces, Anterior

    Standard service: Composite filling (3 surfaces, anterior)

    Code D2332

    Ask what's included
    $155 per unit

    Per three-surface filling in an anterior tooth. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in progress excluded…

    Source: edpdental.com · checked Oct 2026
23. Resin Filling — 4+ Surfaces or Involving Incisal Angle

    Standard service: Composite filling, anterior (4+ surfaces)

    Code D2335

    Ask what's included
    $195 per unit

    Per restoration. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
24. Resin – 1 Surface – Posterior – Permanent

    Standard service: Composite filling, posterior (1 surface)

    Code D2391

    Ask what's included
    $110 per unit

    Per one-surface filling in a permanent posterior tooth. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in progress …

    Source: edpdental.com · checked Oct 2026
25. Resin – 2 Surfaces – Posterior – Permanent

    Standard service: Composite filling, posterior (2 surfaces)

    Code D2392

    Ask what's included
    $145 per unit

    Per two-surface filling in a permanent posterior tooth. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in progress …

    Source: edpdental.com · checked Oct 2026
26. Resin – 3 Surfaces – Posterior – Permanent

    Standard service: Composite filling, posterior (3 surfaces)

    Code D2393

    Ask what's included
    $165 per unit

    Per three-surface filling in a permanent posterior tooth. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in progres…

    Source: edpdental.com · checked Oct 2026
27. Resin – 4+ Surfaces – Posterior – Permanent

    Standard service: Composite filling, posterior (4+ surfaces)

    Code D2394

    Ask what's included
    $195 per unit

    Per filling covering 4+ surfaces in a permanent posterior tooth. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in …

    Source: edpdental.com · checked Oct 2026
28. Comprehensive Oral Evaluation

    Standard service: Comprehensive oral exam

    Code D0150

    Ask what's included
    $50

    EDP membership required; membership cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
29. Core Buildup, Including Any Pins

    Standard service: Core buildup (including pins)

    Code D2950

    Ask what's included
    $150 per unit

    Per core buildup, including any pins. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
30. Crown – Full Cast Predominantly Base Metal

    Standard service: Crown (full cast base metal)

    Code D2791

    Ask what's included
    $630 per unit

    Per crown. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
31. Crown – Porcelain/Ceramic Substrate

    Standard service: Crown (porcelain/ceramic)

    Code D2740

    Ask what's included
    $748 per unit

    Per crown. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
32. Crown – Full Cast High Noble Metal

    Standard service: Crown full cast high noble metal

    Code D2790

    Ask what's included
    $795 per unit

    Per crown. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
33. Crown – Porcelain/High Noble Metal

    Standard service: Crown porcelain fused to high noble metal

    Code D2750

    Ask what's included
    $695

    Fixed-prosthodontics crown, ADA 6750. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
34. Crown – Porcelain/High Noble Metal

    Standard service: Crown porcelain fused to high noble metal

    Code D2750

    Ask what's included
    $775 per unit

    Per crown, ADA 2750. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
35. Crown – Porcelain/Noble Metal

    Standard service: Crown porcelain fused to noble metal

    Code D2752

    Ask what's included
    $648 per unit

    Per crown, ADA 2752. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
36. Crown – Porcelain/Noble Metal

    Standard service: Crown porcelain fused to noble metal

    Code D2752

    Ask what's included
    $655

    Fixed-prosthodontics crown, ADA 6752. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
37. Crown — Porcelain/Predominantly Base Metal

    Standard service: Crown, porcelain fused to base metal

    Code D2751

    Ask what's included
    $645

    Fixed-prosthodontics crown, ADA 6751. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
38. Crown — Porcelain/Predominantly Base Metal

    Standard service: Crown, porcelain fused to base metal

    Code D2751

    Ask what's included
    $655 per unit

    Per crown, ADA 2751. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
39. Topical Sealants

    Standard service: Dental sealant (per tooth)

    Code D1351

    Ask what's included
    $30 per unit

    Per tooth. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
40. Topical Sealants – Per Tooth

    Standard service: Dental sealant (per tooth)

    Code D1351

    Ask what's included
    $30 per unit

    Per tooth. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
41. Denture Repair — Broken Tooth

    Standard service: Denture tooth replacement

    Ask what's included
    $70 per unit

    Per denture tooth, ADA 5640. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
42. Complete Denture Repair — Missing or Broken Tooth

    Standard service: Denture tooth replacement

    Ask what's included
    $75 per unit

    Per denture tooth, ADA 5520. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
43. Topical Fluoride Application

    Standard service: Fluoride treatment

    Ask what's included
    $25

    EDP membership required; membership cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
44. Topical Fluoride Application

    Standard service: Fluoride treatment

    Ask what's included
    $25 per visit

    EDP membership required; membership cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
45. Full Mouth Debridement

    Code D4355

    Ask what's included
    $98

    EDP membership required; membership cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
46. X-Rays Intraoral – Complete Series (Incl. Bitewings)

    Standard service: Full mouth X-rays (FMX)

    Code D0210

    Ask what's included
    $79

    Complete series including bitewings. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
47. Gingivectomy/Gingivoplasty – 4+ contiguous teeth

    Standard service: Gingivectomy (4+ teeth, per quadrant)

    Code D4210

    Ask what's included
    $355

    For 4 or more contiguous teeth. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
48. Immediate Lower Denture

    Standard service: Immediate denture (lower)

    Code D5140

    Ask what's included
    $895

    Lower denture only. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
49. Immediate Upper Denture

    Standard service: Immediate denture (upper)

    Code D5130

    Ask what's included
    $895

    Upper denture only. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs additional. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026
50. Removal of Impacted Tooth/Completely Bony

    Standard service: Impacted tooth extraction (completely bony)

    Code D7240

    Ask what's included
    $345

    Per completely bony impacted tooth. EDP membership required; cost and term not stated on this page. Participating general dentists only, not specialists. Lab costs extra. Pay dentist at time of service. Work in progress excluded.

    Source: edpdental.com · checked Oct 2026

Prices are published cash prices with their source and the date we last checked. Confirm with the provider before you book. Hospital prices for a billing code are often the facility charge only.