In-House Dental Plan

DENTAL PLAN

$190/year

FOR ADULTS

$150/year

FOR CHILDREN UNDER 14 YEARS OLD

FREE SERVICES

FLUORIDE

13 moldeiras

DIGITAL X-RAYS

RAYOS X

EXAMS

EXAMS

25% DISCOUNT ON MOST PROCEDURES INCLUDING:

CODES

PROCEDURE

STANDARD FEE

MEMBER FEE

D2330
1 SURFACE ANTERIOR COMPOSITE
$220
$165
D2331
2 SURFACE ANTERIOR COMPOSITE
$235
$175
D2332
3 SURFACE ANTERIOR COMPOSITE
$255
$190
D2391
1 SURFACE POSTERIOR COMPOSITE
$220
$165
D2392
2 SURFACE POSTERIOR COMPOSITE
$235
$175
D2393
3 SURFACE POSTERIOR COMPOSITE
$255
$190

CODES

PROCEDURE

STANDARD FEE

MEMBER FEE

D2740
ALL PORCELAIN (ZIRCONIA)
$1,300
$975
D2750
PORCELAIN FUSED TO METAL
$1,100
$875
D2950
D2954
CORE BUILD UP & POST AND CORE
$190
$225
FREE

CODES

PROCEDURE

STANDARD FEE

MEMBER FEE

D3310
ANTEIOR ROOT CANAL
$906
$680
D3320
PORCELAIN FUSED TO METAL
$1,040
$780
D3330
CORE BUILD UP & POST AND CORE
$1,300
$980

CODES

PROCEDURE

STANDARD FEE

MEMBER FEE

D7140
SIMPLE EXTRACTION
$225
$170
D7210
SURGICAL EXTRACTION
$275
$200
D7230
IMPACTED WISDOM TOOTH
$350
$275

CODES

PROCEDURE

STANDARD FEE

MEMBER FEE

D4355
FULL MOUTH DEBRIDEMENT
$225
$170
D4341
DEEP CLEANING PER QUADRANT
$250
$187
D4342
DEEP CLEANING 1 – 3 TEETH
$180
$135
PERIDEX
ANTIBIOTIC IRRIGATION AND RINSE
$25
FREE

CODES

PROCEDURE

STANDARD FEE

MEMBER FEE

D6110
D6120
COMPLETE DENTURES (EACH)
$1,300
$975
D6211
D6212
ACRYLIC PARTIAL (EACH)
$1,200
$935
D6213
D6214
CAST FRAME PARTIAL (EACH)
$1,550
$1,140
D6225
D6226
FLEXIBLE PARTIAL (EACH)
$1,550
$1,140

Additionally, our patients can obtain credit through
an outside financing company, CareCredit.

calculatior