Our Advantage Program is designed to provide greater access to quality dental care at an affordable price.
It's a discounted fee schedule for dental services provided at Sycamore Hills Dentistry.
PLAN WILL INCLUDE AT 100% COVERAGE:
- ALL EXAMS
- FLUORIDE TREATMENTS
- EMERGENCY EXAMS
- ALL X-RAYS (including 4 bitewings)
- 1 3D/CT SCAN (1x every 3 years)
- FREE CONSULTATIONS
YOU SAVE 20-50% ON EVERYTHING!
From cleanings and fillings, to cosmetic procedures, implants and crowns!
- NO Yearly Maximums
- NO Deductibles
- NO Claim Forms
- NO Preexisting Condition Limitations
- NO Waiting Periods
- NO Preauthorization Requirements
- FREE Consultations
- FREE XRAYS
- FREE Comprehensive and Annual Exams
This is a discount program, not a dental insurance plan.
VIEW PROGRAM GUIDELINES
Program Guidelines
- Patient portion of bill is due at time of scheduling.
- Program cannot be used in conjunction with another dental plan or dental insurance.
- No refunds of premiums will be issued if participant decides not to utilize dental plan
- No membership card will be given. Your plan's effective date will be on file in our office.
- Program cannot be used at any office other than Sycamore Hills Dentistry and its providers.
- Program cannot be used for referral to specialists or for hospital care. Plan cannot be used for costs of dental care which is covered under automobile medical.
- Program cannot be used for injuries covered under workers' compensation claim.
- Program cannot be used for treatment for which, in the sole opinion of our doctors, lies outside the realm of their capability.
- Family Plan includes parents and children under 18 years of age.
FEE SCHEDULE/COVERAGE
| Treatment | Office Fees | Advantage Fees | Treatment | Office Fees | Advantage Fees |
|---|
| New Patient Exam |
$91 |
$0 |
Root Canal Anterior |
$775 |
$620 |
| Recall (return) Exam |
$53 |
$0 |
Root Canal Premolar |
$872 |
$698 |
| Full Mouth X-rays |
$136 |
$0 |
Root Canal Molar |
$1063 |
$900 |
| 4 Bitewings X-rays |
$67 |
$0 |
Gum Infection, Each Quad |
$264 |
$211 |
| Panoramic X-ray |
$115 |
$0 |
Gum Infection, 1-3 teeth |
$199 |
$159 |
| Fluoride |
$40 |
$0 |
Arestin "Antibiotic" |
$139 |
$111 |
| Regular Cleaning (child) |
$74 |
$40 |
Periodontal Maintenance |
$140 |
$77 |
| Regular Cleaning (Adult) |
$94 |
$70 |
Veneers |
$1119 |
$895 |
| Sealant |
$58 |
$30 |
Porcelain Crown |
$1175 |
$939 |
| 1-Surface White Filling, Ant. |
$177 |
$141 |
Core Build-up |
$275 |
$220 |
| 2-Surface White filling, Ant. |
$213 |
$170 |
Bridge Retainer Crown |
$1158 |
$926 |
| 3-Surface White Filling, Ant. |
$259 |
$207 |
Extraction Erupted Tooth |
$186 |
$149 |
| 1-Surface White Filling, Post. |
$190 |
$152 |
Surgical Extraction |
$288 |
$230 |
| 2-Surface White Filling, Post. |
$239 |
$191 |
Extraction Impacted |
$407 |
$326 |
| 3-Surface White Filling, Post. |
$296 |
$237 |
Limited Ortho/6m smiles |
$3850 |
$3000 |
Office Fee Schedule subject to change
Setup Processing Fee: 18.38 per Unit
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Buy for $ each and save % Buy , and get one
Subscription Term:
Yearly
$230.00
Qty:
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