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Dental HMO Plan

Dental HMO Plan . Sample Co-Pays. Detailed Oral exam = No cost X-Rays = No cost Office Visit = $5.00 Teeth Cleaning = $5.00 (One teeth cleaning every 6 months) Fillings = $8.00 (Amalgam one surface) Tooth Extraction = $10.00 Root canals = $165 to $365 Crowns = $185 to $395

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Dental HMO Plan

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  1. Dental HMO Plan

  2. Sample Co-Pays • Detailed Oral exam = No cost • X-Rays = No cost • Office Visit = $5.00 • Teeth Cleaning = $5.00 (One teeth cleaning every 6 months) • Fillings = $8.00 (Amalgam one surface) • Tooth Extraction = $10.00 • Root canals = $165 to $365 • Crowns = $185 to $395 • Complete Denture (Maxillary) = $365 • Braces = Child $1,150.00 / Adult $2,100.00 Full List of Description of Benefits and Co-Pays at www.______.awisdental.com

  3. State by State Availability Health and life Insurance License required in MD, NV, UT, OR, and SD NY and MD Dental HMO Plans on www.getfamilycaredental.com All other States on www.awisdental.com * These States will open on Feb 1st.

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