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 | $158 | 100% | FREE |
| Existing Patient Exam | $103 | 100% | FREE |
| Emergency Exam | $211 | 100% | FREE |
| Complete Set of XRAYS | $214 | 100% | FREE |
| Single XRAY | $55 | 100% | FREE |
| Panoramic Film | $187 | 100% | FREE |
| Cleaning (12 and up) | $158 | 25% | $119 |
| Child Cleaning | $124 | 25% | $93 |
| Fluoride | $65 | 50% | $33 |
| Sealants | $75 | 25% | $56 |
| White Filling (1 surface) | $286 | 25% | $215 |
| Whilte Filling (2 surface) | $333 | 25% | $250 |
| White Filling (3 surface) | $411 | 25% | $308 |
| White Filling (4 surface) | $502 | 25% | $377 |
| White Crown (Porcelain/Zirconia) | $1,643 | 25% | $1,232 |
| Veneer | $1,666 | 25% | $1,250 |
| Root Canal Front Tooth | $1,135 | 25% | $851 |
| Root Canal Premolar | $1,453 | 25% | $1,090 |
| Root Canal Molar | $1,544 | 25% | $1,158 |
| Deep Cleaning (Quadrant) | $413 | 40% | $248 |
| Gum Surgery | $2,031 | 40% | $1,219 |
| Perio Maintenance | $254 | 40% | $152 |
| Denture (upper) | $2,449 | 20% | $1,959 |
| Denture (lower) | $2,410 | 20% | $1,928 |
| Partial Denture (Upper) | $2,569 | 20% | $2,055 |
| Partial Denture (Lower) | $2,537 | 20% | $2,030 |
| Dental implant | $2,363 | 25% | $1,772 |
| Custom Abutment | $1,308 | 25% | $981 |
| Implant Crown | $2,149 | 25% | $1,612 |
| Extraction | $448 | 20% | $358 |
| Wisdom Tooth Extraction | $730 | 20% | $584 |
| Braces | $7,361 | In Office Disc. | In Office Disc. |
| Invisalign | $8,779 | In Office Disc. | In Office Disc. |
| Nitrous | $190 | 20% | $152 |
| Sedation | $691 / 15 min | 25% | $518 |
| In Office Whitening | $420 | 0% | $420 |