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 | $138 | 100% | $0 |
| Existing Patient Exam | $90 | 100% | $0 |
| Emergency Exam | $108 | 100% | $0 |
| Complete Set of XRAYS | $189 | 100% | $0 |
| Single XRAY | $45 | 100% | $0 |
| Panoramic Film | $165 | 100% | $0 |
| Cleaning (12 and up) | $138 | 25% | $104 |
| Child Cleaning | $99 | 25% | $74 |
| Fluoride | $57 | 25% | $43 |
| Sealants | $66 | $50 | |
| White Filling (1 surface) | $251 | 25% | $188 |
| Whilte Filling (2 surface) | $292 | 25% | $219 |
| White Filling (3 surface) | $362 | 25% | $272 |
| White Filling (4 surface) | $441 | 25% | $331 |
| White Crown (Porcelain/Zirconia) | $1,447 | 25% | $1,085 |
| Veneer | $1,467 | 25% | $1,100 |
| Root Canal Front Tooth | $999 | 25% | $749 |
| Root Canal Premolar | $1,279 | 25% | $959 |
| Root Canal Molar | $1,359 | 25% | $1,019 |
| Deep Cleaning (Quadrant) | $363 | 40% | $218 |
| Gum Surgery | $1,789 | 40% | $1,074 |
| Perio Maintenance | $221 | 40% | $133 |
| Denture (upper) | $2,156 | 20% | $1,725 |
| Denture (lower) | $2,122 | 20% | $1,698 |
| Partial Denture (Upper) | $2,262 | 20% | $1,810 |
| Partial Denture (Lower) | $2,233 | 20% | $1,787 |
| Dental implant | $2,080 | 25% | $1,560 |
| Custom Abutment | $600 | 25% | $450 |
| Implant Crown | $1,891 | 25% | $1,418 |
| Extraction | $394 | 20% | $315 |
| Wisdom Tooth Extraction | $788 | 20% | $630 |
| Braces | $6,676 | 25% | $5,500 |
| Invisalign | $8,000 | 25% | $6,000 |
| Nitrous | $167 | 20% | $134 |
| Sedation | $609 / 15 min | 25% | $487 |
| Take Home Bleaching | $436 | 20% | $349 |
| In Office Whitening | $715 | 20% | $572 |