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Got Questions?  Call us at 770-966-1122, Monday-Friday 9-5 


 

DENTAL PLANS FROM FORTIS
 

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Special Features of the DentiCare Select Plan:
  • No Deductibles
  • No Claim Forms
  • Fixed Co-Payment Schedule
  • No Referral Required for Specialist Benefits
  • Benefits for Pre-Existing Dental conditions

A few of the major dental treatments With the Plan Without the Plan
Routine Cleaning - Adult (once every 6 months) $5.00 $54.00
Routine Cleaning - Child (once every 6 months) $5.00 $41.00
Silver Fillings - One Surface $25.00 $71.00
Silver Fillings - Two Surfaces $30.00 $87.00
Silver Fillings - Three Surfaces $40.00 $99.99
Root Canal - Anterior $225.00 $501.00
Root Canal - Bicuspid $345.00 $594.00
Root Canal - Molar $545.00 $751.00

Orthodontics:  Treatement is provided for children and adults at a 25% reduction from
the Plan Specialist or Plan Dentist's list charges.

Rates: (not including $35.00 Enrollment Fee)

Annual Prepayment Fee Automatic Monthly Bank Draft
Individual $127.20 Individual $11.60
Individual & One Dependent $211.56 Individual & One Dependent $18.63
Family $328.44 Family $28.37