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Payment Options

Miles Dental Plan offers our patients a number of payment options to choose from. Insurance or no insurance, we’ve got you covered!

Billing or insurance questions? Please email us at office@milesdental.com for the quickest response.

Our office accepts Visa, Master Card, Discover. Cash, personal checks, and money orders are also accepted.

Payment is required at the time of service.

In order to keep our costs to our patients minimal, we do not offer in-office financing. However, we do accept third-party healthcare financing that offers zero percent interest plans:

Care Credit: Applications are easy and many people are eligible even with bad credit. Click here for the Care Credit website.

Signing up and eligibility verification is easy!  Our staff can assist you with the application process as well.

Insurance
Most insurance plans are accepted. Call our office or your insurance provider to determine if we are a preferred provider. We are able to file claims even if we are out-of-network with your insurance – call our office to get more information! Please remember your insurance is a contract between you and your insurance company—we file claims as a courtesy to you. .
In-Office Plan

We have our own in-office dental plan, which you may use only at our office. It does not cover referrals to specialists or other dental providers.

Basically our plan gives you the opportunity to pay for your cleaning exams and X-rays over a 6 month period each time you visit our office for your initial visit and then for when you visit us for your six-month follow up recall cleaning visit.

If you need to cancel, just call our office and give us 60 days advance notice. After the 60 day period, the plan will cancel on the renewal date. Each membership will auto-renew annually and you will be informed 45 days ahead of time for this, if you would prefer to opt-out of your membership. 

Fees and membership payments are subject to revision annually and may be subject to change or cancellation.

 

 

Below is a list of common dental services
and what you’ll pay with Miles Dental Plan

DIAGNOSTIC SERVICES

 

CODE SERVICE FEE PLAN SAVE
D0120 Periodic oral evaluation $49 $0 $49
D0140 Limited oral evaluation, problem focused $82 $0 $82
D0145 Exam patient under 3 years include counsel $76 $0 $76
D0150 Comprehensive oral evaluation $86 $0 $86
D0160 Extensive Exam  $99 $79   $20
D0170 Re-evaluation Visit  $57  $0  $0
D0180 Comprehensive periodontal evaluation $93 $0 $93
D0210 Intraoral complete series (including bitewings) $130 $0 $130
D0220 Intraoral periapical, first film $26 $0 $26
D0230 Intraoral periapical, each additional film $23 $0 $23
D0272 Bitewings, two films $44 $0 $44
D0274 Bitewing, four films $62 $0 $62
D0330 Panoramic film $108 $$0 $108
D0340 Cephalometric film $121 $96 $25
D0350 Diagnostic Photographs $58 $46 $12
D0351 3D Intra-oral Pix  $58  $46  $12
D0367 CBCT X-ray  $247  $197  $50
D0460 Pulp Test $30 $24 $6
D0470 Diagnostic Casts $66 $52 $14
D0486 Brush Biopsy Lab  $72  $57  $15
D0601 Caries Risk Low $0 $0 $0
D0602 Caries Risk Moderate $0 $0 $0
D0603 Caries Risk High $0 $0 $0
         

 

PREVENTIVE SERVICES

CODE SERVICE FEE PLAN Save
D1110 Prophylaxis, adult $92 $0 $92 
D1120 Prophylaxis, child $63 $0  $63
D1206 Topical fluoride varnish $49 $36  $13
D1208 Topical application of fluoride $33 $0  $33
D1351 Sealants per tooth to age 14 $53 $35  $18
D1355 Silver Diamine Treatment per tooth  $33  $26  $7
D1510 Space maintainer, fixed, unilateral $317 $253  $64

 

RESTORATIVE SERVICES

 

CODE SERVICE
FEE
PLAN
SAVE
D2140 Alloy 1 Surface  $131  $104  $27
D2150 Alloy 2 Surface  $169  $135  $34
D2160 Alloy 3 Surface  $204  $163  $42
D2330 Resin-based composite, 1 surface, anterior $175 $135 $40
D2331 Resin-based composite, 2 surfaces, anterior $202 $161 $41
D2332 Resin-based composite, 3 surfaces, anterior $237 $159 $78
D2335 Resin-based composite, 4 or more surface anterior $280 $224 $56

D2390

Resin Crown, anterior

 $311  $248  $63
D2391 Resin-based composite, 1 surface, posterior $178 $142 $36
D2392 Resin-based composite, 2 surfaces, posterior $233 $186 $47
D2393 Resin-based composite, 3 surfaces, posterior $289 $231 $58
D2394 Resin-based composite, 4 or more surface posterior $289 $231 $58

2610

Porcelain Inlay 1 surface, posterior

$875  $700  $175

2620

Porcelain Inlay 2 surface, posterior

$1000  $800  $200

2630

Porcelain Inlay 1 surface, posterior

$1125 $900 $225
D2740 Crown, porcelain/ceramic substrate $1142 $850 $292
D2752 Crown, porcelain fused to base metal $1049 $850 $199
D2790 Crown, full cast high noble metal $1087 $850 $237
D2792 Crown, full cast predominantly base metal $1030 $850 $180
D2920 Recement crown $99 $79 $20

D2929

Porcelain Primary crown

 $375  $300  $75
D2930 Prefabricated stainless steel crown, primary tooth $271 $216 $55
D2950 Core buildup, including any pins $258 $206 $52
D2951 Pin retention, per tooth $58 $46 $12
D2954 Prefabricated post and core in add to crown $326 $260 $66

2960

Labial Veneer, direct

 $789  $631  $158
D2962 Porcelain Veneer, lab $972 $850 $122

 

ENDODONTIC SERVICES

 

CODE
SERVICE FEE PLAN SAVE
D3110 Direct Pulp Cap $93 $74 $19
D3220 Theraputic, pulpotomy exclusive of final restoration $190 $152 $38
D3221 Pulpal debridement, primary and permanent $208 $166 $42
D3222 Partial pulpotomy for apexogenesis $193 $154 $39
D3310 Root canal therapy – anterior $726 $580 $146
D3320 Root canal therapy – bicuspid $890 $712 $178
D3330 Root canal therapy – molar $1104 $883 $221

D3332

Inoperative Endo

 $500  $400 $100

D3410

Apicoectomy, anterior

 $754  $603 $151

PERIODONTAL SERVICES

107 

CODE SERVICE FEE PLAN SAVE
D4210 Gingivectomy or gingivoplasty, 4+ teeth 517 $413 $104
D4212 G for Restorative $230 $184 $46
D4230 A CR Exposure $354 $283 $71
D4240 Gingival flap proc, including root planing, 4+ $655 $524 $131
D4249 Clinical crown lengthening, hard tissue $718 $574 $144

D4263

Periodontal Graft

 $391  $312  $79

D4266

Guided Tissue Regeneration 

 $402  $321  $81

D4323

Teeth Splinting

 $350  $280  $70

D4341

Deep Cleaning, per quadrant

 $231  $184  $47

D4342

Deep Cleaning, per quadrant, 1-3 teeth

 $134  $107  $27

D4346

Periodontal Cleaning

 $86  $68  $20

D4355

Full Mouth Debridement

 $158  $126  $32

D4910

Periodontal Maintenance

 $142  $113  $29

D4921

Gingival Irrigation, quadrant

 $20  $16  $4

 

REMOVABLE PROSTHETIC SERVICES

$278$ 

CODE SERVICE FEE PLAN SAVE
D5110 Complete denture, maxillary $1311 $1048  $263
D5120 Complete denture, mandibular $1311 $1048  $263
D5130 Immediate denture, maxillary $1430 $1144  $286
D5140 Immediate denture, mandibular $1430 $1144  $286
D5211 Maxillary partial denture-resin base $1107 $1028  $79
D5212 Mandibular partial denture-resin base $1286 $1028  $257
D5213 Maxillary partial denture-cast metal framework $1449 $1159  $290
D5214 Mandibular partial denture-cast metal framework $1449 $1159  $290
D5225 Maxillary partial denture flexible base $1107 $887  $220
D5226 Mandibular partial denture flexible base $1286 $1028  $258

D5511

Repair Lower Denture

$133  $106  $27

D5512

Repair Upper Denture

$133  $106  $27

D5640

Replace Tooth

$132  $105  $27

D5730

Reline Upper Denture

$300  $240  $60

D5731

Reline Lower Denture

$300  $240  $60

D5750

Reline Upper Denture Lab

$401  $320  $81

D5751

Reline Lower Denture Lab

$401  $320  $81

D5862

Precision ATTACH

$391  $312  $79

D5863

Upper Overdenture

$1388  $1110  $278

D5865

Lower Overdenture

$1388  $1110  $278

D5986

Fluoride Gel Tray

$120  $96  $24

D5995

Perio Tray Upper

$300  $240  $60

D5996

Perio Tray Lower

$300  $240  $60

 

IMPLANT SERVICES

 

CODE SERVICE FEE PLAN SAVE
D6010 Surgical placement: endosteal implant  $2101 $2101 $0
D6011 Healing Cap $100 $100 $0
D6013 Mini Implant $2191 $2191 $0

D6055

Implant Bar

$658  $658  $0

D6056

Prefabricated Abutment

 $455  $455  $0

D6057

Custom Abutment

 $562  $562  $0

D6058

Porcelain Implant Crown

 $1261  $1261  $0

D6059

Porcelain to Metal Implant Crown

 $1244  $1244  $0

D6065

Direct Implant Crown

 $1241  $1241  $0

D6104

Implant Bone Graft

 $407  $407  $0

D6191

Implant Precision Attachment

 $385  $385  $0

FIXED PROSTHETIC SERVICES

 

CODE SERVICE FEE PLAN SAVE

6212

Metal Bridge Pontic

$1046 $836 $210

6242

Porcelain to Metal Bridge Pontic

$1033 $826 $207

6245

Porcelain Bridge Pontic

$1094 $875 $219

6740

Porcelain Bridge Retainer

$1118 $894 $224

6752

Porcelain to Metal Bridge Retainer

 $1040 $832 $208

6792

Metal Bridge Retainer

$1033 $826 $207

ORAL SURGERY SERVICES

 

CODE SERVICE FEE PLAN SAVE
D7111 Extract coronal remnants deciduous tooth $115 $92 $23
D7140 Extraction, erupted tooth or exposed root $153 $122 $31
D7210 Surgical removal of erupted tooth $259 $207 $52
D7220 Removal of impacted tooth, soft tissue $325 $260 $65
D7230 Removal of impacted tooth, partially bony $433 $346 $87
D7240 Removal of impacted tooth, completely bony $508 $406 $102
D7288 Brush biopsy $145 $116 $29

D7880

TMJ Splint

 $688  $688  $0

D7921

PRP treatment

 $278  $222  $56

D7953

Extraction Graft

 $424  $339  $85

D7971

Operculectomy

 $187  $149  $38

 

ADJUNCTIVE SERVICES

CODE SERVICE FEE PLAN SAVE
D9230 Analgesia, anxiolysis, nitrous oxide $71 $56 $15
D9430 Office Visit – No Other Procedures Performed $50 $45 $5
D9972 Teeth Whitening – Office $313 $250 $63
D9975 Teeth Whitening – Take Home Trays $313 $250 $63
See All Plans

Ready To Get Started?

All Family Members Get 10% Off When You Add Them To Your Dental Plan!

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