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 | $153 | 100% | FREE |
| Existing Patient Exam | $100 | 100% | FREE |
| Emergency Exam | $205 | 100% | FREE |
| Complete Set of XRAYS | $208 | 100% | FREE |
| Single XRAY | $53 | 100% | FREE |
| Panoramic Film | $182 | 100% | FREE |
| Cleaning (12 and up) | $153 | 25% | $115 |
| Child Cleaning | $120 | 25% | $90 |
| Fluoride | $63 | 50% | $32 |
| Sealants | $73 | 25% | $55 |
| White Filling (1 surface) | $278 | 25% | $209 |
| Whilte Filling (2 surface) | $323 | 25% | $242 |
| White Filling (3 surface) | $399 | 25% | $299 |
| White Filling (4 surface) | $487 | 25% | $365 |
| White Crown (Porcelain/Zirconia) | $1,595 | 25% | $1,196 |
| Veneer | $1,617 | 25% | $1,213 |
| Root Canal Front Tooth | $1,102 | 25% | $827 |
| Root Canal Premolar | $1,411 | 25% | $1,058 |
| Root Canal Molar | $1,499 | 25% | $1,124 |
| Deep Cleaning (Quadrant) | $401 | 40% | $241 |
| Gum Surgery | $1,972 | 40% | $1,183 |
| Perio Maintenance | $244 | 40% | $146 |
| Denture (upper) | $2,378 | 20% | $1,784 |
| Denture (lower) | $2,340 | 20% | $1,755 |
| Partial Denture (Upper) | $2,494 | 20% | $1,871 |
| Partial Denture (Lower) | $2,463 | 20% | $1,847 |
| Dental implant | $2,294 | 25% | $1,721 |
| Custom Abutment | $1,270 | 25% | $953 |
| Implant Crown | $2,086 | 25% | $1,565 |
| Extraction | $435 | 20% | $305 |
| Wisdom Tooth Extraction | $709 | 20% | $496 |
| Braces | $7,361 | 25% | $5,521 |
| Invisalign | $8,779 | 25% | $6,585 |
| Nitrous | $184 | 20% | $147 |
| Sedation | $671 / 15 min | 25% | $503 |
| In Office Whitening | $420 | 0% | $420 |