1 Comprehensive Exam
1 Annual Exam
1 Emergency Exam (used any time during the year)
2 Cleanings (Prophylaxis or Periodontal Maintenance)
2 Oral Cancer Screenings
2 Fluoride Tooth Desensitizing Treatments
4 Bitewing X-rays
Any Individual X-rays needed throughout the year
Full Mouth Series of X-rays or Panorex
20% OFF Additional Cleanings, Dental Sealants, Fillings, Core Buildups, Oral Surgery
20% OFF Crowns, Veneers, Periodontics, Root Canals, Dentures, Partials, Implants
Coverage
Diagnostic & X Rays – 100% off on
Comprehensive Exam (new patient / initial visit)
1 Annual Exam (children under 18 = 2 per year)
1 Emergency Exam (problem focused, 1 per year)
4 Bitewing X-Rays (1 time per year)
Periapical First Film
Periapical, Each Additional Film
Complete Series of X-Rays or Panorex (1 every 5 years)
Preventative Care – 100% off on
Child Cleaning (2 cleanings per year)
Adult Cleaning* (2 cleanings per year) + additional @ 20%
Fluoride (2 per year, no age limit)
Oral Cancer Screenings (2 per year)
Dental Sealants @ 20%
*Pending periodontal evaluation. Maintenance cleanings only. Some patients may require scaling and root planing first.
20% off on All Other Procedures
Fillings and core buildups
Oral Surgery / Extractions
Scaling & Root Planing
Root Canals
Crowns
Veneers
Dentures and Partials
lmplants