Elliott Dental Patient Dental Plan

In-Office Dental Plan Membership Investment

$60.00 for up to 4 family members
(additional family members $5.00)
Due at 1st visit and valid for 1 year
NO frequency limitations

Dental Services Usual Fee Your Investment
New Patient – 1st Visit
Comprehensive Exam $110.00 $90.00
Full Mouth X-Rays $180.00 $110.00
$290.00 $200.00 (+ $60.00 = $260.00)
Adult Cleaning $125.00 $95.00
Fluoride (D1204) $29.00 $15.00
$154.00 $110.00
Preventive Hygiene Visit – Adult
Periodic Exam $85.00 $70.00
4 Bitewing X-rays $90.00 $70.00
Adult Cleaning $125.00 $95.00
Fluoride (D1204) $29.00 $15.00
$329.00 $250.00
Preventive Hygiene Visit – Child
Periodic Exam $85.00 $70.00
2 Bitewing X-rays $67.00 $50.00
Child Cleaning $98.00 $80.00
Fluoride Varnish (D1206) $29.00 $15.00
$279.00 $215.00
Sealants $75.00/tooth $55.00/tooth

Other Dental Services – 15% fee adjustment will apply

Periodontal Treatment (incl. periodontal maintenance cleanings D4910) 15% Savings
Basic Restorative (white fillings) 15% Savings
Major Restorative (Crowns, Inlay, Onlay, Dentures) 15% Savings
Orthodontics Not-Applicable