St. Louis, MO Dental Plan Rates

The STLDENTALPLAN covers all areas of Dentistry.

Sample Fee Schedule

STANDARD FEE

STL FEE

New Patient Exam
Routine 6 month Checkup
Panoramic X-ray
(4) Bitewing X-rays
Adult Cleaning (routine)
Child Cleaning
Silver Filling (1) surface
Composite Filling (1) surface
Porcelain / Noble Metal Crown
Root Canal Molar
Dentures (per arch)

$     73.00
$     51.00
$     96.00
$     56.00
$     76.00
$     60.00
$   136.00
$   146.00
$   875.00
$   855.00
$ 1205.00

$   17.00
$   14.00
$   41.00
$   20.00
$   32.00
$   22.00
$   67.00
$   71.00
$ 605.00
$ 423.00
$ 777.00

                                            *All fees must be paid in full at time of service  (FEE SCHEDULE 1/1/2011)

Participating Specialist offer a 15% discount from their regular fees.

STL reserves the right to adjust fees periodically and will notify members by mail.

The STLDENTALPLAN Cost

THERE IS AN ADMINISTRATIVE COST OF $25.

Plan Cost

Individual
$120 Yearly

Individual +1
$160 Yearly

Family Plan
$200 Yearly