Membership is available to all patients who do not have dental insurance. Patients have found this to be a terrific alternative. There is no annual maximum or deductibles, no pre-authorization or no waiting periods (immediate eligibility). Enrolling in the In-House Membership Plan (“Plan”) gives you the opportunity to receive your dental treatment exclusively at our practice for reduced fees. This is NOT dental insurance.
INITIAL ENROLLMENT FEE: $50
Child
- 2 Exams
- 1 Emergency Exam
- 2 Cleanings
- 2 Fluoride Treatments
- 2 Oral Cancer Screenings
- 2 Periodontal Screenings
- All X-Rays as Needed
- 20% OFF Treatments
- 50% OFF Zoom Whitening
From Age 1 to 13
1 Member and Up
One Time Fee 50.00
Adult
- 2 Exams
- 1 Emergency Exam
- 2 Cleanings
- 2 Fluoride Treatments
- 2 Oral Cancer Screenings
- 2 Periodontal Screenings
- All X-Rays as Needed
- 20% OFF Treatments
- 50% OFF Zoom Whitening
From Age 14 and Up
1 Member and Up
One Time Fee 50.00
Adult Perio
- 2 Exams
- 1 Emergency Exam
- 4 Periodontal Maintenance(1 per quadrant )
- 2 Fluoride Treatments
- 2 Oral Cancer Screenings
- 2 Periodontal Screenings
- All X-Rays as Needed
- 20% OFF Treatments
From Age 14 and Up
1 Member and Up
One Time Fee 50.00
After payment of the initial enrollment fee and the first month’s dues, members will receive those items in the coverage table at no cost
Terms and Limitations
- This Plan NOT dental insurance. It cannot be combined with any other dental insurance or workers compensation programs or any other non-dental insurance coverage that a member may be eligible for.
- The effective date of this Plan is the day you sign the agreement and automatically renews 1 year after the effective date unless cancelled by you by giving 30 day written notice of cancellation prior to the end of the 1 year.
Payments
- In exchange for the Services You agree to pay us, a monthly fee or yearly fee.
- a) This monthly fee is payable on a prorated basis when you sign the Agreement, and is due on the first (or on the day you signed up) business day of each month thereafter.
- b) The Parties agree that the required method of monthly payment shall be by automatic payment, through a debit, Bank ACH or credit card.
- c) If this Agreement is cancelled by either party before the Agreement ends, we will review and settle your account as follows:
Refunds
- We will refund to You the unused portion of your fees on a per diem basis; or
- If Value of the Services you received over the term of the Agreement exceeds the amount You paid in membership fees, You shall reimburse the practice in an amount equal to the difference between the value of the services received and the amount You paid in membership fees over the term of the Agreement. The Parties agree that the value of the services is equal to the practice’s usual and customary fee-for-service charges. A copy of these fees is available on request.
Important Reminders
- Exams, x-rays, cleanings, and fluoride treatment must be performed within the first year of enrollment and cannot be carried over to the next year.
- Payment for additional services not covered 100% by this Plan is due at the time of service.
- This Plan is only accepted at this location. Therefore, if you are referred to a specialist, they will NOT offer these discounts.
- This Plan is non-transferrable. Family members cannot be substitutes for another family member.
- This Plan is for dental services only, products are not included.
- A No-Show fee (based on length of appointment) may be incurred for each broken appointment without a 24-hour advance notice.
- Rates are subject to change annually
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Contracted Services
- General Dentistry
- Cosmetic Dentistry
- Biomimetic Dentistry
- Health Dentistry
- Prosthodontic
- Dental Implants
- Dental Fillings