Your Program will include:
Preventive Dental
Individuals pay $250.00
Second Adult in Family pays $205.00
Children, through High School pay $175.00
| Usual Fees | Program Fees | ||
| Oral Exam and Diagnosis | 2 per year | $50 ea | No Charge |
| Complete Cleaning for Adults (includes ultrasonic scaling) | 2 per year | $80 ea | No Charge |
| Children’s Cleaning and Fluoride Treatment | 2 per year | $80 | No Charge |
| Cavity Detecting X-Rays or Panorex (when necessary) | Once per year | $95 | No Charge |
| Oral Hygiene Instructions | – | No Charge | |
Basic Dental (Unlimited) | |||
| Amalgam Fillings (Mercury) | 1 surface 2 surfaces 3 surfaces | $85 $110 $135 | $65 $90 $110 |
| Composite (Tooth Colored) | 1 surface 2 surfaces 3 surfaces 4 surfaces | $95 $116 $179 $237 | $75 $95 $140 $190 |
| Extractions | Simple Surgical | $135 $235 | $110 $185 |
| Root Canal Therapy | One Canal Two Canal Three Canals | $545 $695 $845 | $435 $550 $675 |
Major Dental (Unlimited) | |||
| Crowns (PFM) | Caps | $945 | $750 |
| Post and Core | If necessary | $295 | $235 |
| Denture-Partials | Start at | $900 | $720 |
| Valplast/Flexible | $995 | $795 | |
| Periodontal Treatment (SRP) | One Quadrant | $195 | $160 |