Smile Solutions Dental Plan

Cash prices

1. Add Tooth to Existing Partial - Member Fee

   Standard service: Add tooth to existing partial denture

   Code D5650

   Ask what's included
   $196
   Source: smilesolutionsnj.com · checked Oct 2026
2. Add Tooth to Existing Partial - Non-Member Fee

   Standard service: Add tooth to existing partial denture

   Code D5650

   Ask what's included
   $426
   Source: smilesolutionsnj.com · checked Oct 2026
3. Amalgam 1 Surface - Non-Member Fee

   Standard service: Amalgam filling (1 surface)

   Code D2140

   Ask what's included
   $273
   Source: smilesolutionsnj.com · checked Oct 2026
4. Amalgam 1 Surface - Member Fee

   Standard service: Amalgam filling (1 surface, member)

   Code D2140

   Ask what's included
   $121

   Requires membership starting at $99/year. Proof of identity required; benefits subject to plan frequency limits.

   Source: smilesolutionsnj.com · checked Oct 2026
5. Amalgam 2 Surface - Non-Member Fee

   Standard service: Amalgam filling (2 surfaces)

   Code D2150

   Ask what's included
   $336
   Source: smilesolutionsnj.com · checked Oct 2026
6. Amalgam 2 Surface - Member Fee

   Standard service: Amalgam filling (2 surfaces, member)

   Code D2150

   Ask what's included
   $154

   Requires membership starting at $99/year. Proof of identity required; benefits subject to plan frequency limits.

   Source: smilesolutionsnj.com · checked Oct 2026
7. Amalgam 3 Surface - Non-Member Fee

   Standard service: Amalgam filling (3 surfaces)

   Code D2160

   Ask what's included
   $419
   Source: smilesolutionsnj.com · checked Oct 2026
8. Amalgam 3 Surface - Member Fee

   Standard service: Amalgam filling (3 surfaces, member)

   Code D2160

   Ask what's included
   $189

   Requires membership starting at $99/year. Proof of identity required; benefits subject to plan frequency limits.

   Source: smilesolutionsnj.com · checked Oct 2026
9. Amalgam 4+ Surface - Non-Member Fee

   Standard service: Amalgam filling (4+ surfaces)

   Code D2161

   Ask what's included
   $509
   Source: smilesolutionsnj.com · checked Oct 2026
10. Amalgam 4+ Surface - Member Fee

    Standard service: Amalgam filling (4+ surfaces, member)

    Code D2161

    Ask what's included
    $236

    Requires membership starting at $99/year. Proof of identity required; benefits subject to plan frequency limits.

    Source: smilesolutionsnj.com · checked Oct 2026
11. Bone Replacement Graft Per Site

    Standard service: Bone replacement graft (per site)

    Ask what's included
    $662 per unit

    Per graft site. Requires membership starting at $99/year. Proof of identity required; benefits subject to plan frequency limits.

    Source: smilesolutionsnj.com · checked Oct 2026
12. Bone Replacement Graft Per Site - Member Fee

    Standard service: Bone replacement graft (per site)

    Ask what's included
    $662 per unit
    Source: smilesolutionsnj.com · checked Oct 2026
13. Bone Replacement Graft Per Site

    Standard service: Bone replacement graft (per site)

    Ask what's included
    $1,325 per unit

    Non-member fee per graft site.

    Source: smilesolutionsnj.com · checked Oct 2026
14. Bone Replacement Graft Per Site - Non-Member Fee

    Standard service: Bone replacement graft (per site)

    Ask what's included
    $1,325 per unit
    Source: smilesolutionsnj.com · checked Oct 2026
15. Pontic-Porcelain/High Noble Metal - Member Fee

    Standard service: Bridge pontic (porcelain fused to high noble metal)

    Code D6240

    Ask what's included
    $1,076
    Source: smilesolutionsnj.com · checked Oct 2026
16. Pontic-Porcelain/High Noble Metal - Non-Member Fee

    Standard service: Bridge pontic (porcelain fused to high noble metal)

    Code D6240

    Ask what's included
    $2,216
    Source: smilesolutionsnj.com · checked Oct 2026
17. Pontic-Porcelain/Noble Metal - Member Fee

    Standard service: Bridge pontic (porcelain fused to noble metal)

    Code D6242

    Ask what's included
    $957
    Source: smilesolutionsnj.com · checked Oct 2026
18. Pontic-Porcelain/Noble Metal - Non-Member Fee

    Standard service: Bridge pontic (porcelain fused to noble metal)

    Code D6242

    Ask what's included
    $1,914
    Source: smilesolutionsnj.com · checked Oct 2026
19. Pontic-Porcelain/Ceramic - Member Fee

    Standard service: Bridge pontic (porcelain/ceramic)

    Code D6245

    Ask what's included
    $1,045
    Source: smilesolutionsnj.com · checked Oct 2026
20. Pontic-Porcelain/Ceramic - Non-Member Fee

    Standard service: Bridge pontic (porcelain/ceramic)

    Code D6245

    Ask what's included
    $2,216
    Source: smilesolutionsnj.com · checked Oct 2026
21. Complete Lower Denture - Member Fee

    Standard service: Complete denture (lower)

    Code D5120

    Ask what's included
    $1,465

    Requires membership starting at $99/year. Proof of identity required; benefits subject to plan frequency limits.

    Source: smilesolutionsnj.com · checked Oct 2026
22. Complete Lower Denture - Non-Member Fee

    Standard service: Complete denture (lower)

    Code D5120

    Ask what's included
    $3,333
    Source: smilesolutionsnj.com · checked Oct 2026
23. Complete Upper Denture - Member Fee

    Standard service: Complete denture (upper)

    Code D5110

    Ask what's included
    $1,465

    Requires membership starting at $99/year. Proof of identity required; benefits subject to plan frequency limits.

    Source: smilesolutionsnj.com · checked Oct 2026
24. Complete Upper Denture - Non-Member Fee

    Standard service: Complete denture (upper)

    Code D5110

    Ask what's included
    $3,279
    Source: smilesolutionsnj.com · checked Oct 2026
25. Reline Complete Lower Denture-Lab - Member Fee

    Standard service: Complete lower denture reline (lab)

    Code D5751

    Ask what's included
    $433
    Source: smilesolutionsnj.com · checked Oct 2026
26. Reline Complete Lower Denture-Lab - Non-Member Fee

    Standard service: Complete lower denture reline (lab)

    Code D5751

    Ask what's included
    $865
    Source: smilesolutionsnj.com · checked Oct 2026
27. Reline Complete Upper Denture-Lab - Member Fee

    Standard service: Complete upper denture reline (lab)

    Code D5750

    Ask what's included
    $433
    Source: smilesolutionsnj.com · checked Oct 2026
28. Reline Complete Upper Denture-Lab - Non-Member Fee

    Standard service: Complete upper denture reline (lab)

    Code D5750

    Ask what's included
    $865
    Source: smilesolutionsnj.com · checked Oct 2026
29. Composite 1 Surface Anterior - Member Fee

    Standard service: Composite filling (1 surface, anterior)

    Code D2330

    Ask what's included
    $151

    Requires membership starting at $99/year. Proof of identity required; benefits subject to plan frequency limits.

    Source: smilesolutionsnj.com · checked Oct 2026
30. Composite 1 Surface Anterior - Non-Member Fee

    Standard service: Composite filling (1 surface, anterior)

    Code D2330

    Ask what's included
    $316
    Source: smilesolutionsnj.com · checked Oct 2026
31. Composite 2 Surface Anterior - Member Fee

    Standard service: Composite filling (2 surfaces, anterior)

    Code D2331

    Ask what's included
    $185

    Requires membership starting at $99/year. Proof of identity required; benefits subject to plan frequency limits.

    Source: smilesolutionsnj.com · checked Oct 2026
32. Composite 2 Surface Anterior - Non-Member Fee

    Standard service: Composite filling (2 surfaces, anterior)

    Code D2331

    Ask what's included
    $374
    Source: smilesolutionsnj.com · checked Oct 2026
33. Composite 3 Surface Anterior - Member Fee

    Standard service: Composite filling (3 surfaces, anterior)

    Code D2332

    Ask what's included
    $229

    Requires membership starting at $99/year. Proof of identity required; benefits subject to plan frequency limits.

    Source: smilesolutionsnj.com · checked Oct 2026
34. Composite 3 Surface Anterior - Non-Member Fee

    Standard service: Composite filling (3 surfaces, anterior)

    Code D2332

    Ask what's included
    $463
    Source: smilesolutionsnj.com · checked Oct 2026
35. Composite 4+ Surface Anterior - Member Fee

    Standard service: Composite filling, anterior (4+ surfaces)

    Code D2335

    Ask what's included
    $295

    Requires membership starting at $99/year. Proof of identity required; benefits subject to plan frequency limits.

    Source: smilesolutionsnj.com · checked Oct 2026
36. Composite 4+ Surface Anterior - Non-Member Fee

    Standard service: Composite filling, anterior (4+ surfaces)

    Code D2335

    Ask what's included
    $593
    Source: smilesolutionsnj.com · checked Oct 2026
37. Composite 1 Surface Posterior - Member Fee

    Standard service: Composite filling, posterior (1 surface)

    Code D2391

    Ask what's included
    $182

    Requires membership starting at $99/year. Proof of identity required; benefits subject to plan frequency limits.

    Source: smilesolutionsnj.com · checked Oct 2026
38. Composite 1 Surface Posterior - Non-Member Fee

    Standard service: Composite filling, posterior (1 surface)

    Code D2391

    Ask what's included
    $365
    Source: smilesolutionsnj.com · checked Oct 2026
39. Composite 2 Surface Posterior - Member Fee

    Standard service: Composite filling, posterior (2 surfaces)

    Code D2392

    Ask what's included
    $226

    Requires membership starting at $99/year. Proof of identity required; benefits subject to plan frequency limits.

    Source: smilesolutionsnj.com · checked Oct 2026
40. Composite 2 Surface Posterior - Non-Member Fee

    Standard service: Composite filling, posterior (2 surfaces)

    Code D2392

    Ask what's included
    $452
    Source: smilesolutionsnj.com · checked Oct 2026
41. Composite 3 Surface Posterior - Member Fee

    Standard service: Composite filling, posterior (3 surfaces)

    Code D2393

    Ask what's included
    $279
    Source: smilesolutionsnj.com · checked Oct 2026
42. Composite 3 Surface Posterior - Non-Member Fee

    Standard service: Composite filling, posterior (3 surfaces)

    Code D2393

    Ask what's included
    $558
    Source: smilesolutionsnj.com · checked Oct 2026
43. Composite 4+ Surface Posterior - Member Fee

    Standard service: Composite filling, posterior (4+ surfaces)

    Code D2394

    Ask what's included
    $336
    Source: smilesolutionsnj.com · checked Oct 2026
44. Composite 4+ Surface Posterior - Non-Member Fee

    Standard service: Composite filling, posterior (4+ surfaces)

    Code D2394

    Ask what's included
    $671
    Source: smilesolutionsnj.com · checked Oct 2026
45. Comprehensive Oral Evaluation - Non-Member Fee

    Standard service: Comprehensive oral exam

    Code D0150

    Ask what's included
    $180 per visit
    Source: smilesolutionsnj.com · checked Oct 2026
46. Comprehensive Treatment of the Adolescent Dentition - Ceramic

    Standard service: Comprehensive orthodontics, adolescent (ceramic braces)

    Code D8080

    Ask what's included
    $5,086

    For comprehensive adolescent orthodontic treatment. Requires membership starting at $99/year. Proof of identity required; benefits subject to plan frequency limits.

    Source: smilesolutionsnj.com · checked Oct 2026
47. Comprehensive adolescent orthodontic treatment - Ceramic braces

    Standard service: Comprehensive orthodontics, adolescent (ceramic braces)

    Code D8080

    Ask what's included
    $6,540

    Non-member fee for comprehensive adolescent orthodontic treatment.

    Source: smilesolutionsnj.com · checked Oct 2026
48. Comprehensive Treatment of the Adolescent Dentition - Upper Ceramic and Lower Metal

    Standard service: Comprehensive orthodontics, adolescent (ceramic/metal braces)

    Code D8080

    Ask what's included
    $4,752

    For comprehensive adolescent orthodontic treatment. Requires membership starting at $99/year. Proof of identity required; benefits subject to plan frequency limits.

    Source: smilesolutionsnj.com · checked Oct 2026
49. Comprehensive adolescent orthodontic treatment - Upper ceramic and lower metal braces

    Standard service: Comprehensive orthodontics, adolescent (ceramic/metal braces)

    Code D8080

    Ask what's included
    $6,215

    Non-member fee for comprehensive adolescent orthodontic treatment.

    Source: smilesolutionsnj.com · checked Oct 2026
50. Comprehensive Treatment of the Adolescent Dentition - Invisalign/Clear Aligners

    Standard service: Comprehensive orthodontics, adolescent (clear aligners)

    Code D8080

    Ask what's included
    $5,403

    For comprehensive adolescent orthodontic treatment. Requires membership starting at $99/year. Proof of identity required; benefits subject to plan frequency limits.

    Source: smilesolutionsnj.com · checked Oct 2026

Prices are published cash prices with their source and the date we last checked. Confirm with the provider before you book. Hospital prices for a billing code are often the facility charge only.