Affordable Supplemental Plan
Help For Our Uninsured Patients When They Need It The Most

Affordable Supplemental Plan Details:

ADULTS (18 YEARS OF AGE AND OLDER):
New Patient Fee (which includes a full set of dental x-rays): $245 (will be $219 a year after first year)
Established Patient Fee Per Year: $219 per adult (18 years of age and older)

CHILDREN (UNDER THE AGE OF 18):
Fee per year: $165

Your membership fee includes:

• 2 exams per year
• New Patients: full set of x-rays
• Established Patients: checkup x-rays
• 2 professional cleanings per year
• 2 fluoride treatments for children under 18
• All other fluoride treatments will be offered at 20% discount

Limitations:

• Full membership fee must be paid day of enrollment.
• Patients agree that all payments must be made at time of service.
  Any services not paid at the time of service will be billed at the usual, customary and regular rates.
  
• Valid for one year from paid enrollment date.
  
• All appointments must be completed during the enrollment period.
  
• This is not an insurance.