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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.

$250

(Fee without benefits plan: $531)

$350

(Fee without benefits plan: $601)

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.

$450

(Fee without benefits plan: $750)

$550

(Fee without benefits plan: $1,059)

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