|Exam||(Limited Exam Code: D0140)||$150|
|X-rays||(Bitewing/P.A. X-rays Codes D0274 & D0220)|
|Regular Cleaning||(Prophy- Regular Cleaning D1110)|
Limit 1 coupon per patient. May not be used more than once and cannot be combined with any other offers or discounted fees. Coupon should be presented at time of service. This coupon is not valid on current, ongoing or previous treatment. Patients with insurance will receive either the discount or insurance plan pricing, whichever is greater, and the discount will be taken off of the full fee (not the patient portion of the fee). Patient payment responsibility to be paid-in-full on day of service. No cash value. Not valid at all locations.