|Total Annual Cost|
*The Dual Plan is for Parent/Child or Husband/Wife only.
**The Dual Plan and Family Plan includes children who are enrolled full-time in college until age 25, or children who are not enrolled full-time in college until age 18.
(new patient, initial exam)
|Periodic Exam (2 per yr)||100%|
|Limited Oral Exam
(Problem Focused — 1 per yr)
|Intraoral—Complete Series or Panorex
(1 every 3 yrs)
|Intraoral—Periapical, First Film||100%|
|Intraoral—Periapical, Each Additional Film||100%|
|Bitewings (1 per yr)||100%|
(cleaning)(2 per yer)/(after $5 co-pay)
|Adult Prophylaxis(cleaning)(2 per yer)/(after $5 co-pay)||100%|
(1 per yr, no age limit)/(after $5 co-pay)
|Periodontics (General Dentistry)||25%|
|Dentures and Partials||25%|
|Oral Surgery(limited to extractions including third molar)||25%|
This program is a discount plan, not a dental insurance plan.
It cannot be used:
This plan is only honored at Summit Dental Health locations.
Patient’s portion of bill is due on the day of service.
Online appointment request are unavailable at this time.
Please call one of our offices to make an appointment.