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Tell us about the people in your group
Employee Only
Employee +1
Family
Select Your County
 
$ $ $ $
       
Exam $79 $10 $8 No Charge $5
Full Mouth X-Rays $118 $24 No Charge No Charge No Charge
Adult Cleaning $88 $17 No Charge $9 No Charge
Silver Filling (2 Surfaces) $145 $55 $32 $13 No Charge
Root Planning (Per Quadrant) $215 $75 $60 $50 $50
Porcelain/Gold Crown $929 $440+Gold $280+Gold $195+Gold $140+Gold
Root Canal (Bicuspid) $698 $295 $190 $120 $90
Full Denture $1697 $500 $385 $250 $140
 
 

To obtain more information regarding the quote we provided above, please take a few moments to fill out and submit the following online application.

If your group application is approved by our underwriting department (normally a same day reply), you will receive Employee Enrollment Cards (PDF), a Group Contract (PDF), and simple instructions on how to easily complete the process.

 
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Number of Employee Only:
Number of Employee + One Dependent:
Number of Employees + Family:
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