We think dental insurance is great for individuals
whose employer has purchased the benefits for them and where the patients
understand and use the plan to its maximum value. We know however, that more than a fourth
of the families we serve do not have access to dental insurance. Because patient
access and care are our single greatest priorities, we have developed the
following Membership Savings Plan to facilitate greater access to
routine care for families that do not have dental insurance. Dental
Membership Savings Plans are promoted by the American Dental Association.
Our goal for your family in extending this Membership
Savings Plan is that with regular access to routine preventative care
(exams, professional cleanings, x-rays, fluoride), in combination with
consistent, daily home care, that your family will achieve and maintain good
oral health. With no Maximums, Deductibles, or Waiting Periods
that most dental insurance policies implement, when a problem may arise,
there's a strategy for you to get the restorative care you need, in a
comprehensive and affordable way to get back on track.
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Membership Savings Plan Details- Adult Plan (14 and
older) $500
($42.00 per month with financing approval)
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Covered Procedures
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Frequency
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Cost
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D0150 Comprehensive Exam (New Pt)
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New Patients: 1 each per plan year.
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$110.00 orig. (Included in plan)
$75.00 orig. (included in plan)
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D0120 Periodic Exam
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Continuing Patients: 2 times per plan year.
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$130.00 orig. (2 Included in plan)
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D0210 Full Series X-Rays (Panorex, 4 Bitewings, and 2
PAs)
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Panorex: 1 time
every 5 years
Bws and Pas: 1 time
a plan year
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$155.00 orig. (Included in plan)
$153.00 orig. (Included in plan)
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D1110 Prophylaxis (Professional Cleaning)
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2 times per plan year
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$240.00 orig. (2 Included in plan)
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D1206 Fluoride
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2 times per plan year
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$100.00 orig. (2 Included in plan)
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All other dental
procedures (specifically excludes procedures not preformed in our
practice. i.e. referrals to specialists).
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No limit during plan year
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20% discount off original cost
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Total without plan:
$793-$828
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New patients
enjoy first year savings of up to $328 PLUS 20% off all other in-office
services!
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Membership Savings Plan Details- Child Plan (13 and
younger) $420
($35.00 per month with financing approval)
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Covered Procedures
|
Frequency
|
Cost
|
|
D0150 Comprehensive Exam (New Pt)
D0120 Periodic Exam
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New Patients: 1 each per plan year.
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$110.00 orig. (Included in plan)
$75.00 orig. (Included in plan)
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D0120 Periodic Exam
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Continuing Patients: 2 times per plan year.
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$150.00 orig. (2 included in plan)
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D0210 Full Series X-Rays (Panorex, 4 Bitewings, and 2
PAs)
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Panorex: 1 time
every 5 years
Bws and Pas: 1 time
a plan year
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$180.00 orig. (Included in plan)
$100.00 orig. (Included in plan)
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D1120 Prophylaxis (Professional Cleaning)
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2 times per plan year
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$180.00 orig. (2 Included in plan)
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D1206 Fluoride
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2 times per plan year
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$100.00 orig. (2 Included in plan)
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All other dental
procedures (specifically excludes procedures not preformed in our
practice. i.e. referrals to specialists).
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No limit during plan year
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20% discount off original cost
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Total without plan:
$625.00-$640.00
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New patients
enjoy first year savings of up to $220 PLUS 20% off all other in-office
services!
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Membership Savings Plan Details- (Periodontal
Disease Plan) $625
($52.00 per month with financing approval)
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Covered Procedures
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Frequency
|
Cost
|
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D0150 Comprehensive Exam (New Pt)
D0120 Periodic Exam
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New Patients: 1 each per plan year.
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$110.00 orig. (Included in plan)
$75.00 orig. (Included in plan)
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D0120 Periodic Exam
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Continuing Patients: 2 times per plan year.
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$150.00 orig. (2 included in plan)
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D0210 Full Series X-Rays (Panorex, 4 Bitewings, and 2
PAs)
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Panorex: 1 time
every 5 years
Bws and Pas: 1 time
a plan year
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$150.00 orig. (Included in plan)
$153.00 orig. (Included in plan)
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D4910 Periodontal Maintenance D1110Prophylaxis
(Professional Cleaning)
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2 times per plan year
2 times per plan year
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$330.00 orig. (2 Included in plan)
$240.00 (2 Included in plan)
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D1208 Fluoride
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2 times per plan year
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$100.00 orig. (2 Included in plan)
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All other dental
procedures (specifically excludes procedures not preformed in our
practice. i.e. referrals to specialists).
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No limit during plan year
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20% discount off original cost
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Total without plan:
$1,123-1,158
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New patients
enjoy first year savings of up to $658 PLUS 20% off all other in-office
services!
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