| Usual Fees (no discounts) |
Routine 6 Month Check-Up | In Depth Check-Up | Full Mouth X-Rays | Panoramic Film | Adult Teeth Cleaning | Child Teeth Cleaning | |||
| $57.00 | $99.00 | $144.00 | $122.00 | $102.00 | $75.00 | ||||
| Sample Discounted Fees for Plan Members |
Routine 6 Month Check-Up | In Depth Check-Up | Full Mouth X-Rays | Panoramic Film | Adult Teeth Cleaning | Child Teeth Cleaning | |||
|
$21.00 | $31.00 | $60.00 | $47.00 | $47.00 | $32.00 | |||
|
$27.00 | $54.00 | $77.00 | $63.00 | $55.00 | $40.00 | |||
|
$15.00 | $34.00 | $44.00 | $44.00 | $39.00 | $33.00 | |||
|
$0.00 | $0.00 | $0.00 | $0.00 | $58.00 | $40.00 | |||
|
$27.00 | $54.00 | $77.00 | $63.00 | $55.00 | $40.00 | |||
|
$21.00 | $31.00 | $60.00 | $47.00 | $47.00 | $32.00 | |||
|
$14.00 | $18.00 | $40.00 | $40.00 | $29.00 | $21.00 | |||
|
$21.00 | $31.00 | $60.00 | $47.00 | $47.00 | $32.00 | |||
|
$22.00 | $32.00 | $0.00 | $59.00 | $48.00 | $34.00 | |||
|
$24.00 | $36.00 | $61.00 | $54.00 | $50.00 | $38.00 | |||
|
$15.00 | $34.00 | $44.00 | $44.00 | $39.00 | $33.00 | |||
|
$25.00 | $43.00 | $75.00 | $61.00 | $50.00 | $36.00 | |||
|
$30.00 | $55.00 | $76.00 | $62.00 | $59.00 | $43.00 | |||
| Usual Fees (no discounts) |
1 Surface Silver Filling for Primary or Permanent Tooth | 1 Surface White Filling for U or L Front Tooth | Single Crown - Porcelain on High Noble Metal | |||
| $160.00 | $175.00 | $1,227.00 | ||||
| Sample Discounted Fees for Plan Members |
1 Surface Silver Filling for Primary or Permanent Tooth | 1 Surface White Filling for U or L Front Tooth | Single Crown - Porcelain on High Noble Metal | |||
|
$47.00 | $61.00 | $546.00 | |||
|
ND | $80.00 | $706.00 | |||
|
$65.00 | $69.00 | 20% | |||
|
$50.00 | $61.00 | $534.00 | |||
|
ND | $80.00 | $706.00 | |||
|
$47.00 | $61.00 | $546.00 | |||
|
$40.00 | $51.00 | $473.00 | |||
|
$47.00 | $61.00 | $546.00 | |||
|
$53.00 | $0.00 | $0.00 | |||
|
$62.00 | $72.00 | $562.00 | |||
|
$65.00 | $69.00 | 20% | |||
|
$66.00 | $77.00 | $631.00 | |||
|
15% | 15% | 15% | |||
| Includes Discount Dental Plan | Includes Prescription Plan | Includes Vision Plan | Includes Chiropractic Plan | Includes Hearing Plan | ||||
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| Individual Membership per year | Family Membership per year | 3 Extra Months FREE | Earliest Activation Date | ||||
|
$134.95 | $189.95 |  |
5/7/2013 | |||
|
$134.95 | $179.95 | |
5/7/2013 | |||
|
$134.95 | $179.95 | |
* 5/8/2013 | |||
|
$104.95 | $159.95 | |
5/8/2013 | |||
|
$104.95 | $159.95 | |
5/8/2013 | |||
|
$144.95 | $199.95 | |
5/13/2013 | |||
|
$139.95 | $189.95 | |
5/9/2013 | |||
|
$104.95 | $159.95 | |
5/7/2013 | |||
|
$159.95 | $189.95 | |
5/8/2013 | |||
|
$114.95 | $169.95 | |
5/7/2013 | |||
|
$114.95 | $169.95 | |
5/8/2013 | |||
|
$114.95 | $169.95 | |
5/8/2013 | |||
|
$79.95 | $129.95 | |
5/8/2013 | |||