Platinum
Plan: $225 Gold Plan: $175
Additional: One dependent = $95.00 - Two or More
Dependents = $150
First 2 adults - $225 (total)
Single coverage - $150
Payment is expected at time of
service. There is no deductible to submit or insurance
forms to fill out. We also offer financing through
Dental Fee Plan, of course certain rules and restrictions
apply.
Unlike dental insurance, there
is no cap on the amount of dental work you can have
done.
|
| |
ADP Fee
|
Savings
|
| Comprehensive Oral Exam |
$87
|
|
| Complete X-rays |
$130
|
|
| Teeth Cleaning(routine) |
$100
|
|
| Total |
$317
|
72%
|
| Your Cost |
$100- First Visit
|
|
| |
$70
|
After Initial Visit
|
| |
ADP Fee
|
Savings
|
| Comprehensive Oral Exam |
$87
|
|
| Complete X-rays |
$130
|
|
| Teeth Cleaning(routine) |
$100
|
|
| Total |
$317
|
68%
|
| Your Cost |
$110 - First Visit
|
|
| |
$80
|
After Initial Visit
|
| Procedures |
ADP Fee
|
Platinum/Savings
|
Gold/Savings
|
| Primary Tooth - Colored Filling |
$180
|
$135/25%
|
$153/15%
|
Tooth-Colored Fillings
|
$190-$395
|
$142-296/25%
|
$161-336/15%
|
| Crowns (Caps) (Not Cosmetic) |
$1,245
|
$933.75/25%
|
$1058.25/15%
|
Onlays, Inlays,
3/4 Crowns |
$1,245
|
$933.75/25%
|
$1058.25/15%
|
| 3-Unit Bridge |
$3,375
|
$2,531.25/25%
|
$2,868.75/15%
|
| Implant Crown |
$1,890
|
$1,701/10%
|
$1,795.50/5%
|
Root Planning/Scaling
(Deep Cleaning) $227 $171/25% $195/15%
(Per Quadrant) |
$240
|
$180/25%
|
$204/15%
|
| Sealants |
$50
|
$37.50/25%
|
$42.50/15%
|
*AADC fees
subject to change
|