OneSmile Dental Plan

OneSmile Dental Plan
FREE Exams	IMMEDIATE plan activation
FREE X-Rays	NO annual maximums
LOW yearly membership fee	NO claim forms to submit
GUARANTEED acceptance	LARGE selection of participating offices

Sample of Savings may not be applicable to your state. Please select your state to view your Sample of Savings.

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20%-40%
SAVINGS

20%-40% off all dental services including, Cosmetic and Specialty such as periodontics, oral surgery, endodontics, orthodontics and pedodontics.

Select your state to view your savings

Procedure	UCR - Cost without the plan*	Cost with the Plan	Your Savings
Comprehensive Exam	$97	No Charge	$97
Full Mouth X-rays	$153	No Charge	$153
Oral Evaluation - Periodic	$59	No Charge	$59
Prophylaxis (Cleaning) - Adult	$105	$74	$31
Filling - 2 Surfaces	$263	$195	$68
Crown - Porcelain/Ceramic	$1,369	$960	$409
Core Buildup - (Including Any Pins)	$301	$190	$111
Extraction – Erupted Tooth	$196	$135	$61
Total Cost With Plan	$2,543	$1,554	$989
Comprehensive Exam	$97	No Charge	$97
Full Mouth X-rays	$153	No Charge	$153
Oral Evaluation - Periodic	$59	No Charge	$59
Prophylaxis (Cleaning) - Adult	$105	$74	$31
Filling - 2 Surfaces	$263	$195	$68
Crown - Porcelain/Ceramic	$1,369	$960	$409
Core Buildup - (Including Any Pins)	$301	$190	$111
Extraction – Erupted Tooth	$196	$135	$61
Total Cost With Plan	$2,543	$1,554	$989
Comprehensive Exam	$113	No Charge	$113
Full Mouth X-rays	$168	No Charge	$168
Oral Evaluation - Periodic	$68	No Charge	$68
Prophylaxis (Cleaning) - Adult	$124	$74	$50
Filling - 2 Surfaces	$292	$205	$87
Crown - Porcelain/Ceramic	$1,469	$1,010	$459
Core Buildup - (Including Any Pins)	$323	$215	$108
Extraction – Erupted Tooth	$210	$135	$75
Total Cost With Plan	$2,767	$1,639	$1,128
Comprehensive Exam	$135	No Charge	$135
Full Mouth X-rays	$200	No Charge	$200
Oral Evaluation - Periodic	$82	No Charge	$82
Prophylaxis (Cleaning) - Adult	$150	$93	$57
Filling - 2 Surfaces	$340	$270	$70
Crown - Porcelain/Ceramic	$1,375	$1,100	$275
Core Buildup - (Including Any Pins)	$350	$280	$70
Extraction – Erupted Tooth	$240	$190	$50
Total Cost With Plan	$2,872	$1,933	$939
Comprehensive Exam	$113	No Charge	$113
Full Mouth X-rays	$168	No Charge	$168
Oral Evaluation - Periodic	$68	No Charge	$68
Prophylaxis (Cleaning) - Adult	$124	$74	$50
Filling - 2 Surfaces	$292	$205	$87
Crown - Porcelain/Ceramic	$1,469	$1,010	$459
Core Buildup - (Including Any Pins)	$323	$215	$108
Extraction – Erupted Tooth	$210	$135	$75
Total Cost With Plan	$2,767	$1,639	$1,128
Comprehensive Exam	$113	No Charge	$113
Full Mouth X-rays	$168	No Charge	$168
Oral Evaluation - Periodic	$68	No Charge	$68
Prophylaxis (Cleaning) - Adult	$124	$74	$50
Filling - 2 Surfaces	$292	$205	$87
Crown - Porcelain/Ceramic	$1,469	$1,010	$459
Core Buildup - (Including Any Pins)	$323	$215	$108
Extraction – Erupted Tooth	$210	$135	$75
Total Cost With Plan	$2,767	$1,639	$1,128
Comprehensive Exam	$113	No Charge	$113
Full Mouth X-rays	$168	No Charge	$168
Oral Evaluation - Periodic	$68	No Charge	$68
Prophylaxis (Cleaning) - Adult	$124	$74	$50
Filling - 2 Surfaces	$292	$205	$87
Crown - Porcelain/Ceramic	$1,469	$1,010	$459
Core Buildup - (Including Any Pins)	$323	$215	$108
Extraction – Erupted Tooth	$210	$135	$75
Total Cost With Plan	$2,767	$1,639	$1,128
Comprehensive Exam	$97	No Charge	$97
Full Mouth X-rays	$153	No Charge	$153
Oral Evaluation - Periodic	$59	No Charge	$59
Prophylaxis (Cleaning) - Adult	$105	$74	$31
Filling - 2 Surfaces	$263	$195	$68
Crown - Porcelain/Ceramic	$1,369	$960	$409
Core Buildup - (Including Any Pins)	$301	$190	$111
Extraction – Erupted Tooth	$196	$135	$61
Total Cost With Plan	$2,543	$1,554	$989
Comprehensive Exam	$90	No Charge	$90
Full Mouth X-rays	$152	No Charge	$152
Oral Evaluation - Periodic	$55	No Charge	$55
Prophylaxis (Cleaning) - Adult	$100	$74	$26
Filling - 2 Surfaces	$245	$175	$70
Crown - Porcelain/Ceramic	$1,317	$960	$357
Core Buildup - (Including Any Pins)	$290	$170	$120
Simple Extraction	$181	$130	$51
Total Cost With Plan	$2,430	$1,509	$921
Comprehensive Exam	$112	No Charge	$112
Full Mouth X-rays	$171	No Charge	$171
Oral Evaluation - Periodic	$67	No Charge	$67
Prophylaxis (Cleaning) - Adult	$123	$80	$43
Filling - 2 Surfaces	$290	$215	$75
Crown - Porcelain/Ceramic	$1,510	$1,060	$450
Core Buildup - (Including Any Pins)	$345	$225	$120
Simple Extraction	$226	$140	$86
Total Cost With Plan	$2,844	$1,720	$1,124
Comprehensive Exam	$90	No Charge	$90
Full Mouth X-rays	$152	No Charge	$152
Oral Evaluation - Periodic	$55	No Charge	$55
Prophylaxis (Cleaning) - Adult	$100	$74	$26
Filling - 2 Surfaces	$245	$175	$70
Crown - Porcelain/Ceramic	$1,317	$960	$357
Core Buildup - (Including Any Pins)	$290	$170	$120
Simple Extraction	$181	$130	$51
Total Cost With Plan	$2,430	$1,509	$921
Comprehensive Exam	$113	No Charge	$113
Full Mouth X-rays	$168	No Charge	$168
Oral Evaluation - Periodic	$68	No Charge	$68
Prophylaxis (Cleaning) - Adult	$124	$74	$50
Filling - 2 Surfaces	$292	$205	$87
Crown - Porcelain/Ceramic	$1,469	$1,010	$459
Core Buildup - (Including Any Pins)	$323	$215	$108
Extraction – Erupted Tooth	$210	$135	$75
Total Cost With Plan	$2,767	$1,639	$1,128
Comprehensive Exam	$113	No Charge	$113
Full Mouth X-rays	$168	No Charge	$168
Oral Evaluation - Periodic	$68	No Charge	$68
Prophylaxis (Cleaning) - Adult	$124	$74	$50
Filling - 2 Surfaces	$292	$205	$87
Crown - Porcelain/Ceramic	$1,469	$1,010	$459
Core Buildup - (Including Any Pins)	$323	$215	$108
Extraction – Erupted Tooth	$210	$135	$75
Total Cost With Plan	$2,767	$1,639	$1,128
Comprehensive Exam	$112	No Charge	$112
Full Mouth X-rays	$171	No Charge	$171
Oral Evaluation - Periodic	$67	No Charge	$67
Prophylaxis (Cleaning) - Adult	$123	$80	$43
Filling - 2 Surfaces	$290	$215	$75
Crown - Porcelain/Ceramic	$1,510	$1,060	$450
Core Buildup - (Including Any Pins)	$345	$225	$120
Simple Extraction	$226	$140	$86
Total Cost With Plan	$2,844	$1,720	$1,124
Comprehensive Exam	$90	No Charge	$90
Full Mouth X-rays	$152	No Charge	$152
Oral Evaluation - Periodic	$55	No Charge	$55
Prophylaxis (Cleaning) - Adult	$100	$74	$26
Filling - 2 Surfaces	$245	$175	$70
Crown - Porcelain/Ceramic	$1,317	$960	$357
Core Buildup - (Including Any Pins)	$290	$170	$120
Simple Extraction	$181	$130	$51
Total Cost With Plan	$2,430	$1,509	$921
Comprehensive Exam	$113	No Charge	$113
Full Mouth X-rays	$168	No Charge	$168
Oral Evaluation - Periodic	$68	No Charge	$68
Prophylaxis (Cleaning) - Adult	$124	$74	$50
Filling - 2 Surfaces	$292	$205	$87
Crown - Porcelain/Ceramic	$1,469	$1,010	$459
Core Buildup - (Including Any Pins)	$323	$215	$108
Extraction – Erupted Tooth	$210	$135	$75
Total Cost With Plan	$2,767	$1,639	$1,128
Full Mouth X-rays	$168	No Charge	$168
Oral Evaluation - Periodic	$68	No Charge	$68
Prophylaxis (Cleaning) - Adult	$124	$74	$50
Filling - 2 Surfaces	$292	$205	$87
Crown - Porcelain/Ceramic	$1,469	$1,010	$459
Core Buildup - (Including Any Pins)	$323	$215	$108
Extraction – Erupted Tooth	$210	$135	$75
Total Cost With Plan	$2,767	$1,639	$1,128
Comprehensive Exam	$97	No Charge	$97
Full Mouth X-rays	$153	No Charge	$153
Oral Evaluation - Periodic	$59	No Charge	$59
Prophylaxis (Cleaning) - Adult	$105	$74	$31
Filling - 2 Surfaces	$263	$195	$68
Crown - Porcelain/Ceramic	$1,369	$960	$409
Core Buildup - (Including Any Pins)	$301	$190	$111
Extraction – Erupted Tooth	$196	$135	$61
Total Cost With Plan	$2,543	$1,554	$989
Comprehensive Exam	$90	No Charge	$90
Full Mouth X-rays	$152	No Charge	$152
Oral Evaluation - Periodic	$55	No Charge	$55
Prophylaxis (Cleaning) - Adult	$100	$74	$26
Filling - 2 Surfaces	$245	$175	$70
Crown - Porcelain/Ceramic	$1,317	$960	$357
Core Buildup - (Including Any Pins)	$290	$170	$120
Simple Extraction	$181	$130	$51
Total Cost With Plan	$2,430	$1,509	$921
Comprehensive Exam	$113	No Charge	$113
Full Mouth X-rays	$168	No Charge	$168
Oral Evaluation - Periodic	$68	No Charge	$68
Prophylaxis (Cleaning) - Adult	$124	$74	$50
Filling - 2 Surfaces	$292	$205	$87
Crown - Porcelain/Ceramic	$1,469	$1,010	$459
Core Buildup - (Including Any Pins)	$323	$215	$108
Extraction – Erupted Tooth	$210	$135	$75
Total Cost With Plan	$2,767	$1,639	$1,128
Comprehensive Exam	$113	No Charge	$113
Full Mouth X-rays	$168	No Charge	$168
Oral Evaluation - Periodic	$68	No Charge	$68
Prophylaxis (Cleaning) - Adult	$124	$74	$50
Filling - 2 Surfaces	$292	$205	$87
Crown - Porcelain/Ceramic	$1,469	$1,010	$459
Core Buildup - (Including Any Pins)	$323	$215	$108
Extraction – Erupted Tooth	$210	$135	$75
Total Cost With Plan	$2,767	$1,639	$1,128
Comprehensive Exam	$112	No Charge	$112
Full Mouth X-rays	$171	No Charge	$171
Oral Evaluation - Periodic	$67	No Charge	$67
Prophylaxis (Cleaning) - Adult	$123	$80	$43
Filling - 2 Surfaces	$290	$215	$75
Crown - Porcelain/Ceramic	$1,510	$1,060	$450
Core Buildup - (Including Any Pins)	$345	$225	$120
Simple Extraction	$226	$140	$86
Total Cost With Plan	$2,844	$1,720	$1,124
Comprehensive Exam	$112	No Charge	$112
Full Mouth X-rays	$171	No Charge	$171
Oral Evaluation - Periodic	$67	No Charge	$67
Prophylaxis (Cleaning) - Adult	$123	$80	$43
Filling - 2 Surfaces	$290	$215	$75
Crown - Porcelain/Ceramic	$1,510	$1,060	$450
Core Buildup - (Including Any Pins)	$345	$225	$120
Simple Extraction	$226	$140	$86
Total Cost With Plan	$2,844	$1,720	$1,124
Comprehensive Exam	$90	No Charge	$90
Full Mouth X-rays	$152	No Charge	$152
Oral Evaluation - Periodic	$55	No Charge	$55
Prophylaxis (Cleaning) - Adult	$100	$74	$26
Filling - 2 Surfaces	$245	$175	$70
Crown - Porcelain/Ceramic	$1,317	$960	$357
Core Buildup - (Including Any Pins)	$290	$170	$120
Simple Extraction	$181	$130	$51
Total Cost With Plan	$2,430	$1,509	$921
Comprehensive Exam	$112	No Charge	$112
Full Mouth X-rays	$171	No Charge	$171
Oral Evaluation - Periodic	$67	No Charge	$67
Prophylaxis (Cleaning) - Adult	$123	$80	$43
Filling - 2 Surfaces	$290	$215	$75
Crown - Porcelain/Ceramic	$1,510	$1,060	$450
Core Buildup - (Including Any Pins)	$345	$225	$120
Simple Extraction	$226	$140	$86
Total Cost With Plan	$2,844	$1,720	$1,124
Comprehensive Exam	Select State	Select State	Select State
Full Mouth X-rays	Select State	Select State	Select State
Oral Evaluation - Periodic	Select State	Select State	Select State
Prophylaxis (Cleaning) - Adult	Select State	Select State	Select State
Filling - 2 Surfaces	Select State	Select State	Select State
Crown - Porcelain/Ceramic	Select State	Select State	Select State
Core Buildup - (Including Any Pins)	Select State	Select State	Select State
Extraction – Erupted Tooth	Select State	Select State	Select State
Total Cost With Plan	Select State	Select State	Select State
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