SmileCare Dental & DENTAL CARE NETWORK™ are offering a dental program which provides an exclusive voucher of $100 to be redeemed for dental treatment if you are an employee of one of our partnered corporate programs.
Smilecare Family Dentists. Affordable high quality dental care.
|
Dental Item Code |
Dental Service |
Recommended Fee |
SmileCare Family Dentists Fee |
|---|---|---|---|
|
Diagnostic |
|||
|
011 |
Initial Check-Up |
$120 |
$54.00 |
|
012 |
Periodic Check-Up |
$90 |
$50.00 |
|
013 |
Specific Examination |
$100 |
$54.00 |
|
014 |
Consultation |
$110 |
$60.00 |
|
022 |
X-ray – Per Film |
$70 |
$38.00 |
|
037 |
X-ray – Panoramic (OPG) |
$180 |
$99.00 |
|
Preventive |
|
|
|
|
111 |
Removal of plaque |
$110 |
$60.00 |
|
114 |
Scale and Clean |
$240 |
$109.00 |
|
115 |
Scale and Clean (additional visit) |
$240 |
$109.00 |
|
121 |
Fluoride Application |
$60 |
$38.00 |
|
161 |
Fissure Sealing – Per Tooth |
$100 |
$55.00 |
|
Oral Surgery |
|
|
|
|
311 |
Extraction |
$385 |
$198.00 |
|
314 |
Complex Extraction |
$480 |
$249.00 |
|
324 |
Surgical Extraction |
$1,100 |
$550.00 |
|
Root Canal Treatment |
|
|
|
|
411 |
Direct Pulp Capping |
$190 |
$40.00 |
|
419 |
Emergency Relief of Root Canal Pain |
$520 |
$190.00 |
|
455 |
Additional visit for dressing of Root Canal System – Per Tooth |
$207 |
$99.00 |
|
415, 417 |
Root Therapy (1 Canal) Incl. Xrays |
$1,120 |
$636.00 |
|
415, 416, 417, 418 |
Root Therapy (2 Canals) Incl. Xrays |
$1,680 |
$825.00 |
|
415, 416 x 2, 417, 418 x 2 |
Root Therapy (3 Canals) |
$2,240 |
$1,014.00 |
|
Fillings – Amalgam (silver) and Resin (white) |
|
|
|
|
511, 521 or 531 |
1 Surfaces |
$290 |
$159.00 |
|
512, 522 or 532 |
2 Surfaces |
$360 |
$189.00 |
|
513, 523 or 533 |
3 Surfaces |
$430 |
$229.00 |
|
575 |
Retention Screw/Pin |
$80 |
$45.00 |
|
577 |
Cusp Capping – Per Cusp |
$80 |
$45.00 |
|
578 |
Restoration of Corner |
$80 |
$45.00 |
|
582 |
Composite Resin Veneer |
$508 |
$450.00 |
|
583 |
Porcelain Veneer |
$2,200 |
$1,200 |
|
Crowns & Bridges (Lab Fees Included) |
|
|
|
|
615 |
Dental Crown |
$1,940 |
$990.00 |
|
627 |
Core for Crown |
$440 |
$245.00 |
|
643 |
Bridge Pontic (per missing tooth) |
$1,614 |
$990.00 |
|
651 |
Recement Crown or Veneer |
$220 |
$120.00 |
|
688, 627, 615 |
Single Stage Dental Implant |
$4500-$5000 |
$2750-$3850 |
|
Prosthodontics |
|
|
|
|
721 |
Partial Denture Acrylic Base |
$1,500 |
$825 |
|
727, 728 |
Partial Denture with Cast Metal Framework |
$2,440 |
$1,350 |
|
733 |
Per Tooth on Partial Denture |
$60.00 |
$35.00 |
|
768 |
Add Tooth to Partial Denture |
$480.00 |
$295.00 |
|
Snap-On Smile |
|
|
|
|
|
Snap-On Smile (per arch) |
$2600.00 |
$2,400.00 |
|
General |
|
|
|
|
927
|
ZOOM Whitening Pens (take home)
|
|
$85.00 Double pack Postage: $6.50 just call to pay then we can post that day |
|
965 |
Occlusal Splint |
$771 |
$395.00 |
