Pediatric Coverage
Ages 12 and under.
100% coverage for:
2 Cleanings
2 Exams
2 Flouride Treatments
7 Bitewing X-Rays
*In addition, 10% discount on all other services,
including a panoramic X-ray which is required every 3-5 years.
$331
(Fee without benefits plan: $599)
$441
(Fee without benefits plan: $657)
Adult Plan A
Ages 13 and older.
100% coverage for:
2 Cleanings
2 Exams
2 Flouride Treatments
7 Bitewing X-Rays
*In addition, 10% discount on all other services,
including a panoramic X-ray which is required every 3-5 years.
Adult Plan B
Ages 13 and older.
100% coverage for:
3 Cleanings
2 Exams
2 Flouride Treatments
7 Bitewing X-Rays
*In addition, 10% discount on all other services, including a panoramic X-ray which is required every 3-5 years.
$551
(Fee without benefits plan: $789)
$661
(Fee without benefits plan: $1,101)
Adult Plan C
Ages 13 and older.
100% coverage for:
4 Cleanings
2 Exams
2 Flouride Treatments
7 Bitewing X-Rays
1 Panoramic X-Ray
*In addition, 10% discount on all other services.