STANDARD FEE STL FEE
New Patient Exam $ 73.00 $ 16.50
Routine 6 month Check/up $ 51.00 $ 13.50
Panoramic X ray $ 96.00 $ 40.00
(4) Bitewing X rays $ 56.00 $ 19.00
Adult Cleaning (routine) $ 76.00 $ 30.00
Child Cleaning $ 60.00 $ 20.00
Silver Filling (1) surface $ 136.00 $ 66.00
Composite Filling (1) surface $ 146.00 $ 70.00
Porcelain /Noble Metal Crown $ 875.00 $ 600.00
Root Canal Molar $ 855.00 $ 421.00
Dentures (per arch) $ 1205.00 $ 775.00
All Specialists participating with STLDentalPlan will offer patients a 15% discount from their regular office fees. Payment in full is due at time of service.
This fee schedule is only to be used as a guide to determine approximate prices for services performed in a general dentist office. In order to determine the specific rates for a provider, you should contact the office directly.
Plan cost
THERE IS A (1) TIME ADMINISTRATION COST OF $25.00
Individual
$120.00
Yearly
Individual + 1
$160.00
Yearly
Family Plan
$200.00
Yearly
* All fees must be paid in full at time of service.
NOT AN INSURANCE COMPANY.
There is no reimbursement made to the provider of services from any outside source. Payment in full is due at time of service. Only offices participating with STLDentalPlan will honor discounts. Please check with the dental office for plan participation before scheduling an appointment.
