Platinum Plus Comparison Chart
| National Average | Platinum Plus Plan | |
|---|---|---|
| $99/person $169/family | ||
| Check-Ups and X-Rays | ||
| Routine 6 Month Check-Up | $68.00 | $21.00 |
| In Depth Check – Up | $119.00 | $28.00 |
| Full Mouth X-Rays | $173.00 | $52.00 |
| Panoramic Film | $145.00 | $40.00 |
| Cleanings and Sealants | ||
| Adult Teeth Cleaning | $123.00 | $37.00 |
| Child Teeth Cleaning | $90.00 | $33.00 |
| Protective Sealant / Tooth | $73.00 | $23.00 |
| Fluoride (Excludes Cleaning) | $50.00 | $26.00 |
| Fillings and Crowns | ||
| 1 Surface White Filling for U or L Anterior Tooth | $210.00 | $87.00 |
| Single Crown – All Porcelain | $1,472.00 | $807.00 |
| Disclaimer: Upgrades available on all crowns at additional fee. | ||
| Implants and Veneers | ||
| Implant Supported Porcelain Crown | $2,040.00 | $968 |
| Root Canals | ||
| Root Canal Treatment – Front Tooth | $991.00 | $420.00 |
| Root Canal Treatment – Bicuspid | $1,160.00 | $494.00 |
| Root Canal Treatment – Molar | $1,404.00 | $692.00 |
| Gum Treatments | ||
| Perio Scaling and Root Planning (Per Quadrant) | $325.00 | $155.00 |
| Periodontal Maintenance | $187.00 | $92.00 |
| Dentures | ||
| Full Upper Denture | $2,226.00 | $902.00 |
| Tooth Extractions | ||
| Single Tooth Extraction (with General Dentist only) | $236.00 | $80.00 |
| Surgical Tooth Extraction (with General Dentist only) | $240.00 | $207.00 |
| Disclaimer: A dentist must perform an intraoral evaluation and take x-rays of the tooth prior to determining what type of extraction a patient will need. It is the dentist determination that will define the out of pocket fee for this service. All fees provided prior to this determination are an estimated quote. | ||
| Pediatric Dentistry | ||
| Child Teeth Cleaning | $90.00 | $33.00 |
| Flouride for Children under 16 (Excludes Cleaning) | $49.00 | $26.00 |
| Protective Sealant / Tooth for Children under 16 | $73.00 | $23.00 |
| Specialty Fees | ||
| Endodontics | 20% off | |
| Oral Surgery | 20% off | |
| Orthodontics | 10% off | |
| Periodontics | 20% off | |
| * FEES SUBJECT TO CHANGE WITHOUT NOTICE. ADDITIONAL LAB FEE APPLIES TO ALL CROWNS, BRIDGES AND DENTURES. | ||