Smilebuilderz Dental Plan Fee Schedule
Keeping Dental Care Affordable and Accessible
Scroll table side to side to view all data.
| Service | Regular Fee | Discount | ADV/Select/Senior |
|---|---|---|---|
| New Patient Exam | $145 | 100% | $0 |
| Existing Patient Exam | $95 | 100% | $0 |
| Emergency Exam | $113 | 100% | $0 |
| Complete Set of XRAYS | $198 | 100% | $0 |
| Single XRAY | $47 | 100% | $0 |
| Panoramic Film | $173 | 100% | $0 |
| Cleaning (12 and up) | $145 | 25% | $104 |
| Child Cleaning | $114 | 25% | $74 |
| Fluoride | $60 | 50% | $30 |
| Sealants | $69 | 25% | $50 |
| White Filling (1 surface) | $264 | 25% | $188 |
| Whilte Filling (2 surface) | $307 | 25% | $219 |
| White Filling (3 surface) | $380 | 25% | $272 |
| White Filling (4 surface) | $463 | 25% | $331 |
| White Crown (Porcelain/Zirconia) | $1,519 | 25% | $1,085 |
| Veneer | $1,540 | 25% | $1,100 |
| Root Canal Front Tooth | $1,049 | 25% | $749 |
| Root Canal Premolar | $1,343 | 25% | $959 |
| Root Canal Molar | $1,427 | 25% | $1,019 |
| Deep Cleaning (Quadrant) | $381 | 40% | $218 |
| Gum Surgery | $1,878 | 40% | $1,074 |
| Perio Maintenance | $232 | 40% | $133 |
| Denture (upper) | $2,264 | 25% | $1,725 |
| Denture (lower) | $2,228 | 25% | $1,698 |
| Partial Denture (Upper) | $2,375 | 25% | $1,810 |
| Partial Denture (Lower) | $2,345 | 25% | $1,787 |
| Dental implant | $2,184 | 25% | $1,560 |
| Custom Abutment | $630 | 25% | $450 |
| Implant Crown | $1,986 | 25% | $1,418 |
| Extraction | $414 | 30% | $315 |
| Wisdom Tooth Extraction | $827 | 30% | $630 |
| Braces | $7,010 | 22% | $5,500 |
| Invisalign | $8,000 | 25% | $6,000 |
| Nitrous | $175 | 20% | $134 |
| Sedation | $639 / 15 min | 25% | $487 |
| Take Home Bleaching | $492 | 20% | $349 |
| In Office Whitening | $420 | 0% | $572 |