Clinic

Smileform Dentistry

Newtown Square, PA

4 published cash pricesdentistedgmont.com

Cash prices

  1. healthy mouth plan - For patients 14+ years
    Standard service: Dental membership (adult)
    Ask what's includedMembership
    $499 per year

    Ages 14+. Includes 1 comprehensive and 1 periodic exam, 2 cleanings, 2 oral cancer screenings, 2 fluoride treatments, full X-rays and intraoral photos, 1 limited exam with 1 X-ray as needed, cosmetic and orthodontic consultations, and oral …

    Source: dentistedgmont.com · checked Oct 2026
  2. healthy mouth kids - For children under 14 years
    Standard service: Dental membership (child)
    Ask what's includedMembership
    $299 per year

    Children under 14. Includes 1 comprehensive and 1 periodic exam, 2 cleanings, 2 fluoride treatments, 1 full set of X-rays, 1 limited exam with 1 X-ray as needed, 1 orthodontic consultation and oral hygiene instruction. Other dental treatmen…

    Source: dentistedgmont.com · checked Oct 2026
  3. New-patient special: cleaning, X-rays and comprehensive exam
    Standard service: New patient visit
    Ask what's includedNew-patient offer
    $200

    Eligible new patients only; the page does not specify eligibility criteria.

    Source: dentistedgmont.com · checked Oct 2026
  4. periodontal plan - For patients with periodontal disease
    Standard service: Periodontal membership plan
    Ask what's includedMembership
    $699 per year

    For periodontal disease. Includes 4 maintenance cleanings, comprehensive and periodic exams, 2 cancer screenings, 2 fluoride treatments, full X-rays/photos, 1 limited exam/X-ray as needed, cosmetic/orthodontic consults and hygiene instructi…

    Source: dentistedgmont.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.