Quality Dentistry at Affordable Prices

Call Forest Lake Dentists

22855 Lake Forest, Dr (Suite B)
Lake Forest, California (CA) 92630

IN HOUSE INSURANCE SAVE - 30-40%

Summary of Plan 4006 Benefits & Co-Payments

The following dental services are covered benefits for the specified co-payment, only when provided by a participating California Dental Network general dentist.

The No Problem Plan
  • No claim forms
  • No deductibles
  • No annual maximums
  • No waiting periods to see your dentist
  • No limitations on most pre-existing conditions
Your Entire Family Is Eligible

You may enroll your spouse and eligible dependents. Eligible dependents include unmarried children to age 19, and full-time students to age 23. (A full-time student is defined as being enrolled in 12 or more units. Verification is required.)

Out-of-Area Emergency Care Is Covered, Too

If you have a dental emergency and need to visit a dentist located more than 50 miles from your California Dental Network office, California Dental Network will reimburse you: up to $50 per year for out-of-area emergency treatment.

Specialty Referral

Not all dentists are capable of performing each of the services listed herein, and based upon the Member's condition, certain procedures may not be within the scope of practice or ability of a general dentist. In such cases, the Member will be referred to a dental specialist. The cost of services provided by a dental specialist are NOT covered benefits under this Plan.

Services Co-Payments
DIAGNOSTIC & PREVENTATIVE
Office Visit $10.00
Oral Exam (infection control) No Charge
Full-Mouth x-rays $30.00
Single Film No Charge
Each Additional Film No Charge
Teeth Cleaning (Adult) -prophy-2-per year $40.00
Topical Floride (Child) No Charge
Sealant, Per Tooth $15.00
RESTORATIVE DENTISTRY (Fillings)
Amalgam (Primary or permanent teeth) Cavities:
One tooth surface $60.00
Two tooth surfaces $80.00
Three tooth surfaces $95.00
Four tooth surfaces $110.00
Silicate, acrylic, composites & plastic restorations (anterior teeth)
One tooth surface $75.00
Two Tooth surfaces $90.00
Three tooth surfaces $115.00
Four tooth surfaces $130.00
Pin Retention, per tooth $21.00
CROWNS & BRIDGES*
Porcelain fused to metal** (not for molars) $480.00
Full Cast Crown** $480.00
3/4 Cast Crown** $450.00
Stainless Steel Crown $90.00
Re-cement crown $43.00
Re-cement bridge $55.00
Cast Post & Core $100.00
ENDODONTICS*
Pulp Capping $25.00
Pulpotomy (vital or therapeutic) $40.00
ROOT CANAL THERAPY
Single-rooted canal therapy $370.00
Two-rooted canal therapy $410.00
Three-rooted canal therapy $520.00
PERIODONTICS*
Root planning & Subgingival curettage (per quad) $65.00
PROSTHODONTICS- REMOVABLE
Complete upper or lower denture $700.00
Partial upper or lower $700.00
Stay plate $300.00
Teeth & clasps, extra per unit $50.00
Removal unilateral $195.00
Office reline $85.00
Lab reline $190.00
Repair $120.00
ORAL SURGERY* EXTRACTIONS
Simple, local anesthesia $90.00
Surgical $150.00
Impaction, Soft tissue $120.00
mpaction, Partially bony $130.00
Impaction, Full bony $160.00
EMERGENCY SERVICES
Emergency office visit $40.00
Emergency after hours $100.00
OTHER SERVICES
Broken Appointment (w/ out 24 hour notice) $15.00
* As performed by General Dentist ** Plus cost of gold
Family Dentistry Lake Forest

COMPREHENSIVE DENTAL CARE FOR THE ENTIRE FAMILY

  • Thorough Exams & Gentle Cleaning
  • Prevention Guidance & Sealants
  • Drilless\Air Abrasion fillings
  • Cosmetic & Restorative Dentistry
  • Natural Looking Porcelain Crowns
  • Quality Long Lasting Dentures & Implants
  • One Hour Teeth Whitening
  • Invisalign (Virtually Invisible & Removable)
Invisalign - Virtually Invisible Braces
Payment Ways
Location Map
South Orange County
Dentistry Since 1991
New Patients Always Welcome

Contact Us

Forest Family Dentistry Office Hours
Weekdays Time
MON/WED/THUR 8-7
TUE 8-6
FRI 8-2
Every Other SAT 8-2