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 preventative 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

$ 99.00

Panoral

$ 100.00

X-rays (4 Bite Wings)

$ 47.00

Cleaning

$ 103.00

  
  

Total Cost

$ 349.00

  
  
  

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

$ 89.00

  

Total Cost

$ 139.00

  

SAVINGS

$210.00

Plus, another free exam and x-rays and, up to a
57% discount on all other dental work, this year.

 

Fee Schedule

You can save as much as 57% off the cost of many procedures. our comprehensive plan offers reduced fees making quality dentistry affordable to everyone!
* Terms & Conditions

Diagnostic & Preventative Procedures (Exams & X-Rays)

CodeDescriptionTypical FeePlan FeeSAVINGS
D120Periodical Oral Evaluation$68No Charge$68
D140Emergency Oral Evaluation$95No Charge$95
D210-330All X-RaysNo Charge
D1110Prophylaxis-Adult$120$50$70
D1120Prophylaxis-Child$91$50$41
D1206Fluoride-Child (to age 16)$40No Charge$40
 

Restorative Procedures (Fillings)

CodeDescriptionTypical FeePlan FeeSAVINGS
D2140Amalgam 1 Surface - Pri/Perm$190$99$91
D2150Amalgam 2 Surface - Pri/Perm$239$129$110
D2160Amalgam 3 Surface Pri/Perm$295$157$138
D2161Amalgam 4 Surface Pri/Perm$345$188$157
D2330Composite 1 Surface Anterior$222$125$97
D2331Composite 2 Surface Anterior$269$156$113
D2332Composite 3 Surface Anterior$329$191$138
D2335Composite 4 Surface Anterior$410$240$170
D2740Crown-Porcelain/Ceramic$1,498$954$544
D2752Crown-Porcelain Fused to Noble Metal$1,420$860$560
D2790Crown-Full Cast High Noble$1,534$954$580
D2940Sedative Filling$168$90$78
D2950Core Build Up With or Without Pins$352$212$140
D2951Pin Retention-Per Tooth$98$53$45
D2954Prefabricated Post & Core$445$267$178
 

Cosmetic Procedures

CodeDescriptionTypical FeePlan FeeSAVINGS
D2391Composite 1 Surface Posterior$243$153$90
D2392Composite 2 Surface Posterior$307$201$106
D2393Composite 3 Surface Posterior$379$238$141
D2394Composite 4 Surface Posterior$449$279$170
D2960Labial Veneer Resin-Chairside$896$480$416
D2962Labial Veneer Porcelain-Lab$1,516$839$677
 

Endodontic Procedures

CodeDescriptionTypical FeePlan FeeSAVINGS
D3310Root Canal Anterior$994$551$443
D3320Root Canal Bicuspid$1,132$665$467
D3330Root Canal Molar$1,363$806$557
D3346Retreat Anterior$1,142$655$487
D3347Retreat Bicuspid$1,297$738$559
D3348Retreat Molar$1,543$887$656
 

Periodontic Procedures (Gums)

CodeDescriptionTypical FeePlan FeeSAVINGS
D4249Crown Lengthening$1,017$609$408
D4260Osseous Surgery$1,420$829$591
D4263Bone Replacement-First Site in Quad$871$583$288
D4264Bone Replacement-Each Add. Site$693$410$283
D4341Scaling & Root Planing-Per Quad$339$171$168
D4910Periodontal Maintenance$120$75$45
 

Removable Prosthodontic Procedures (Dentures)

CodeDescriptionTypical FeePlan FeeSAVINGS
D5110Complete Upper Denture$2,297$1,309$988
D5120Complete Lower Denture$2,297$1,309$988
D5130Immediate Upper Denture$2,549$1,452$1,097
D5140Immediate Lower Denture$2,549$1,452$1,097
D5213Upper Partial-Metal Base$2,360$1,378$982
D5214Lower Partial-Metal Base$2,360$1,378$982
D5226Lower Partial-Flex/Valplast$2,054$1,917$137
D5225Upper Partial-Flex/Valplast$2,054$1,917$137
D5610Repair Resin Denture$277$159$118
D5620Repair Cast Framework$384$233$151
D5630Repair or Replace Broken Clasp$357$208$149
D5750Reline Complete Upper Denture-Lab$624$376$248
D5650Add Tooth to Existing Partial$304$174$130
D5751Reline Complete Lower Denture-Lab$624$376$248
D5820Interim Partial Upper (Flipper)$940$544$396
D5821Interim Partial Lower (Flipper)$940$544$396
 

Implant Procedures

CodeDescriptionTypical FeePlan FeeSAVINGS
D6010Surgical Placement of Implant$2,528$1,631$897
D6056Prefabricated Abutment$985$420$565
D6057Custom Abutment$1,147$611$565
D6058Implant Supported Crown-Porcelain$1,818$1,109$709
D5069Implant Supported Crown-Noble Metal$1,844$1,109$735
 

Fixed Prosthodontic Procedures

CodeDescriptionTypical FeePlan FeeSAVINGS
D6242Pontic-Porcelain Fused to Noble Metal$1,423$860$563
D6740Crown-Porcelain/Ceramic$1,498$954$544
D6752Crown-Porcelain Fused to Noble Metal$1,420$860$560
 

Oral Surgery Procedures (Extractions)

CodeDescriptionTypical FeePlan FeeSAVINGS
D7140Extraction-Erupted Tooth$239$124$115
D7210Extraction-Surgical Erupted Tooth$369$215$154
D7220Extraction-Impacted Soft Tissue$420$248$172
D7230Extraction-Impacted Partial Bony$521$322$199
D7240Extraction-Impacted Complete Bony$631$397$234
D7250Surgical Removal of Residual Root$399$242$157
D7280Surgical Exposure of Unerupted Tooth$625$394$231
D7510Incision & Drainage Abcess$323$182$141
 

Orthodontic Procedures (Braces)

CodeDescriptionTypical FeePlan FeeSAVINGS
D8080Comprehensive Treatment of the Adolescent Dentition:
Metal$5,219$3,914$1,305
Ceramic$5,869$4,564$1,305
Upper Ceramic and Lower Metal$5,544$4,239$1,305
Invisalign$5,495$4,895$600
D8090Comprehensive Treatment of the Adult Dentition:
Metal$5,219$3,914$1,305
Ceramic$5,869$4,564$1,305
Upper Ceramic and Lower Metal$5,544$4,239$1,305
Invisalign$5,495$4,895$600

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