Dental Membership Plan Brookline

DenVantage Plan Costs & Benefits

The following is a summary of the costs and benefits associated with the DenVantage Plan as offered by this provider. If you have any questions on the information presented in this document, please contact the provider directly.

Plans

Please note that there is a one-time setup fee of $55 per individual or $95 per family, which is non-refundable.

Schedule of
Benefits

The DenVantage Plan includes the following benefits at no charge:

  • Adult Cleaning (two per year)
  • Periodontal Maintenance (four per year with Periodontal Plan)
  • Periodic Exam (one per benefit year with any plan)
  • All routine X-rays, which include:
    • Bitewings (once per benefit year)
    • Complete Series/Panorex (once per three benefit years)
Procedure/Treatment Savings
Composite (tooth colored) Fillings $35
All Porcelain Crown $150
Gold Crown $153
Core Build Up (to support the crown) $35
Veneer $155
Implant Body Placement $175
Implant Crown $160
Standard Implant Abutment $55
Complete Denture (upper or lower) $200
Partial Denture (upper or lower) $165
Extractions $25
Sealants (per tooth) $5
Whitening $65
Limited Orthodontics $320
Comprehensive Orthodontics $480
Initial Comprehensive Exam $25
Bridges $350
Emergency Exam $35

Savings on Other Services

The savings listed below represent the amount taken off this provider’s regular fees for DenVantage members only. All other services (not including products) offered by this provider receive comparable benefits. Please ask for savings on services not shown below.

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