Savings to Smile About

Below is a list of common dental services and what you’ll pay with SmileWorks Membership.

Saving Summary

ADA Code Procedure Description Member Pays*
Preventive & Diagnostic
D0120 Periodic Exam NO CHARGE
D0140 Periodic Exam – Problem Focused NO CHARGE
D0150 Comprehensive Exam NO CHARGE
D0210 Full Mouth X-Rays NO CHARGE
D0330 Panoramic X-Rays NO CHARGE
D1110 Adult Cleaning $65.00
D1120 Child Cleaning $55.00
D1206 Fluoride – Including Varnish $25.00
D2330 Filling – 1 Surface, Anterior $145.00
D2391 Filling – 1 Surface, Posterior $150.00
D2740 Crown – Porcelain/Ceramic $950.00
D2950 Core Buildup – Including Pins $210.00
Endodontics & Periodontics
D3330 Root Canal – Molar $925.00
D4341 Perio Scaling/Root Planing – 4+ Teeth $195.00
D4910 Periodontal Maintenance $110.00
Prosthodontics & Oral Surgery
D5110 Complete Denture (Upper or Lower) 15% OFF
D5213 Partial Denture (Upper or Lower) 15% OFF
7140 Simple Extraction $135.00
D7210 Surgical Extraction $210.00

*Member savings may vary by location. Free exams and x-rays limited to 2x per member/per annual membership term.

SmileWorks Membership is NOT INSURANCE, but rather a licensed dental savings plan offered through your local dental office. Members in good standing with their annual membership fee are eligible to receive transparent, member-only discounts from the normal retail fees that participating offices typically charge self-pay patients for dental services rendered. Plan details and member savings are exclusive to participating offices and may vary by location. Membersy does not make payments directly to dental providers for services rendered to plan members. Members are obligated to pay for all dental services but will receive a discount on services rendered by participating dental providers. The plan is not a qualified health plan under the Affordable Care Act. The plan does not meet the minimum creditable coverage requirements under MGLC.111M and 956 CMR 5.00. Discount Medical Plan Organization (“DMPO”) and plan administrator: Membersy LLC, 811 Barton Springs Rd. Ste. 750, Austin, TX 78704.


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Open Hours

Monday-Thursday: 8:00 AM–06:00 PM
Friday: 8:00 AM – 3:00 PM CST
Saturday- Sunday: Closed