Our Dental Plan

Have it all . . .with Smile Solutions!

Smile Solutions was designed to offer an affordable solution to small businesses, individuals and families so that you can enjoy all the benefits of comprehensive, quality dental care.

Enjoy the security of knowing you have a discount dental plan with access to the quality care you deserve. Smile Solutions offers you and your family the dental care you need with the freedoms you desire.

From preventive care to more extensive dental needs, Smile Solutions will protect the health of your teeth without putting a burden on your budget.

You'll have access to a network of dentists and specialists who have agreed to provide services at predetermined, discounted fees.

Compare out-of-pocket fees with Smile Solutions to what you would pay without Smile Solutions.

OUT-OF-POCKET COST
FOR FIRST CHECKUP
WITHOUT 

Initial Exam

$ 146.00

Panoral

$ 170.00

X-rays (4 Bite Wings)

$ 98.00

Cleaning

$ 149.00

  
  

Total Cost

$ 563.00

  
  
  

OUT-OF-POCKET COST
FOR FIRST CHECKUP 
WITH 

Initial Exam

NO CHARGE

Panoral

NO CHARGE

X-rays (4 Bite Wings)

NO CHARGE

Cleaning

$ 50.00

Smile Solutions Membership

$ 99.00

  

Total Cost

$ 149.00

  

SAVINGS

$414.00

Plus, another free exam and x-rays and 
discounts on all other dental services, this year.

 

Fee Schedule

You can save as much as 30% or more off the cost of many procedures. Our comprehensive plan offers reduced fees making quality dentistry affordable to everyone!
* Terms & Conditions

Diagnostic & Preventive Procedures (Exams & X-Rays)

CodeDescriptionTypical FeePlan FeeSAVINGS
D120Periodic Oral Evaluation$80No Charge$80
D140Emergency Oral Evaluation$121No Charge$121
D150Comprehensive Oral Evaluation$146No Charge$146
D210-330All X-RaysNo Charge
D1110Prophylaxis-Adult$149$50$99
D1120Prophylaxis-Child$102$50$52
D1206Fluoride-Child (to age 16)$43No Charge$43
D1351Sealant-Per Tooth$83$35$48
 

Restorative Procedures (Fillings)

CodeDescriptionTypical FeePlan FeeSAVINGS
D2140Amalgam 1 Surface$221$115$106
D2150Amalgam 2 Surface$272$147$125
D2160Amalgam 3 Surface$339$180$159
D2161Amalgam 4+ Surface$412$225$187
D2330Composite 1 Surface Anterior$256$144$112
D2331Composite 2 Surface Anterior$303$176$127
D2332Composite 3 Surface Anterior$375$218$157
D2335Composite 4+ Surface Anterior$480$281$199
D2740Crown-Porcelain/Ceramic$1,793$995$798
D2750Crown-Porcelain/High Noble Metal$1,793$1,025$768
D2752Crown-Porcelain/Noble Metal$1,674$925$749
D2940Sedative Filling$168$90$78
D2950Core Build Up With or Without Pins$409$228$181
D2951Pin Retention-Per Tooth$124$57$67
D2954Prefabricated Post & Core$492$287$205
 

Cosmetic Procedures

CodeDescriptionTypical FeePlan FeeSAVINGS
D2391Composite 1 Surface Posterior$301$190$111
D2392Composite 2 Surface Posterior$372$243$129
D2393Composite 3 Surface Posterior$459$288$171
D2394Composite 4+ Surface Posterior$552$343$209
D2960Labial Veneer Resin-Chairside$1,039$557$482
D2962Labial Veneer Porcelain-Lab$1,790$991$799
 

Endodontic Procedures (Root Canals)

CodeDescriptionTypical FeePlan FeeSAVINGS
D3310Root Canal Anterior$1,104$612$492
D3320Root Canal Bicuspid$1,269$745$524
D3330Root Canal Molar$1,568$927$641
D3346Retreat Anterior$1,291$740$551
D3347Retreat Bicuspid$1,461$831$630
D3348Retreat Molar$1,736$998$738
 

Periodontic Procedures (Gums)

CodeDescriptionTypical FeePlan FeeSAVINGS
D4249Crown Lengthening$1,199$718$481
D4260Osseous Surgery-4+ Teeth Per Quad$1,816$990$826
D4261Osseous Surgery-1-3 Teeth Per Quad$1,405$815$590
D4263Bone Replacement-First Site in Quad$1,019$682$337
D4264Bone Replacement-Each Add. Site$878$519$359
D4266Guided Tissue Regeneration$1,079$450$629
D4341Scaling & Root Planing-4+ Teeth Per Quad$382$171$211
D4342Scaling & Root Planing-1-3 Teeth Per Quad$292$150$142
D4381Local Delivery of Antimicrobial Agent$55$49$6
D4910Periodontal Maintenance$208$99$109
 

Removable Prosthodontic Procedures (Dentures)

CodeDescriptionTypical FeePlan FeeSAVINGS
D5110Complete Upper Denture$2,653$1,395$1,258
D5120Complete Lower Denture$2,697$1,395$1,302
D5130Immediate Upper Denture$2,924$1,560$1,364
D5140Immediate Lower Denture$2,881$1,560$1,321
D5213Upper Partial-Metal Base$2,718$1,395$1,323
D5214Lower Partial-Metal Base$2,718$1,395$1,323
D5225Upper Partial-Flex/Valplast$2,312$1,999$313
D5226Lower Partial-Flex/Valplast$2,339$1,999$340
D5611Repair Upper Resin Denture$339$194$145
D5612Repair Lower Resin Denture$337$194$143
D5621Repair Upper Cast Framework$425$250$175
D5622Repair Lower Cast Framework$423$250$173
D5630Repair or Replace Broken Clasp$397$225$172
D5650Add Tooth to Existing Partial$345$187$158
D5750Reline Complete Upper Denture-Lab$700$422$278
D5751Reline Complete Lower Denture-Lab$700$422$278
D5820Interim Partial Upper (Flipper)$1,051$608$443
D5821Interim Partial Lower (Flipper)$1,045$608$437
 

Implant Procedures

CodeDescriptionTypical FeePlan FeeSAVINGS
D6010Surgical Placement of Implant$2,849$1,850$999
D6056Prefabricated Abutment$1,116$476$640
D6057Custom Abutment$1,332$710$622
D6058Implant Supported Crown-Porcelain/Ceramic$1,975$1,205$770
D6059Implant Supported Crown-Porcelain/High Noble Metal$2,043$1,229$814
D6061Implant Supported Crown-Porcelain/Noble Metal$1,984$1,190$794
 

Fixed Prosthodontic Procedures (Bridgework)

CodeDescriptionTypical FeePlan FeeSAVINGS
D6240Pontic-Porcelain/High Noble Metal$1,793$1,025$768
D6242Pontic-Porcelain/Noble Metal$1,549$924$625
D6245Pontic-Porcelain/Ceramic$1,793$995$798
D6740Crown-Porcelain/Ceramic$1,620$995$625
D6750Crown-Porcelain/High Noble Metal$1,657$1,025$632
D6752Crown-Porcelain/Noble Metal$1,567$924$643
 

Oral Surgery Procedures (Extractions)

CodeDescriptionTypical FeePlan FeeSAVINGS
D7140Extraction-Erupted Tooth$295$153$142
D7210Extraction-Surgical Erupted Tooth$458$249$209
D7220Extraction-Impacted Soft Tissue$487$288$199
D7230Extraction-Impacted Partial Bony$599$370$229
D7240Extraction-Impacted Complete Bony$720$453$267
D7250Surgical Removal of Residual Root$476$289$187
D7280Surgical Exposure of Unerupted Tooth$785$495$290
D7510Incision & Drainage Abscess$371$209$162
D7953Bone Replacement Graft Per Site$1,072$700$372
 

General Services Adjunctive

CodeDescriptionTypical FeePlan FeeSAVINGS
D9230Nitrous Oxide$131$99$32
D9110Emergency Treatment Palliative$201$141$60
 

Orthodontic Procedures (Braces)

CodeDescriptionTypical FeePlan FeeSAVINGS
D8080Comprehensive Treatment of the Adolescent Dentition:
Metal$5,890$4,417$1,473
Ceramic$6,540$5,086$1,454
Upper Ceramic and Lower Metal$6,215$4,753$1,463
Invisalign/Clear Aligners$6,065$5,403$662
D8090Comprehensive Treatment of the Adult Dentition:
Metal$5,890$4,417$1,473
Ceramic$6,540$5,086$1,454
Upper Ceramic and Lower Metal$6,215$4,752$1,463
Invisalign/Clear Aligners$6,065$5,403$662

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