Dental Plan

Dental Saving Plan

	Bronze Plan Annual Fee: $350	Silver Plan Annual Fee: $550	Gold Plan Annual Fee: $750
Dental Service	Discount on UCR Fees
Comprehensive exam	100%	100%	100%
6 months recall exam	100%	100%	100%
Emergency Exam	100%	100%	100%
Periapical and bitewing X-rays	100%	100%	100%
CT scan	50%	100%	100%
Adult preventive cleaning (2 per year)	100%	100%	100%
Child preventive cleaning (2 per year)	100%	100%	100%
Fluoride treatment (2 per year)	100%	100%	100%
Scaling and root planning (deepcleaning)	5%	10%	15%
Periodontal maintenance	5%	10%	15%
Composite (tooth-colored fillings)	5%	10%	15%
Crowns/ Bridges	5%	10%	15%
Root Canal Treatment (single /multirooted)	5%	10%	15%
Post/Buildup	5%	10%	15%
Extractions (simple and surgical)	10%	10%	15%
Socket grafting	5%	10%	15%
Guided bone regeneration	Not covered	10%	15%
Sinus grafting	Not covered	10%	15%
Stereolithographic bone model	Not covered	Not covered	10%
Alveoloplasty	Not covered	10%	15%
Dental implants	Not covered	5%	10%
Custom Abutment	Not covered	5%	10%
Implant crown	Not covered	5%	10%
Overdentures	Not covered	5%	10%
Fixed hybrid implant dentures	Not covered	5%	10%
Hader bar implant dentures	Not covered	5%	10%
Veneers	Not covered	10%	15%
Teeth whitening	5%	10%	15%
Interim Dentures	Not covered	10%	15%
Traditional dentures	Not covered	10%	15%
Lab Denture relines of existing dentures	Not covered	5%	10%
In Office Denture relines of existing dentures	Not covered	50%	100%
Denture Adjustments	Not covered	100%	100%
Fractured denture repair	Not covered	5%	10%
Replacing a missing denture tooth	Not covered	5%	10%
Recement crown/bridge/inlay/onlay	Not covered	5%	10%
Night Guard	Not covered	5%	10%

ENROLL TODAY

MEMBERSHIP RULES

This program is a discount membership, not a dental insurance, and is secondary to any other dental insurance. It cannot be used as follows:

In conjunction with other memberships or discounted dental insurance plans.
Not valid for any dental office promotions or discounted services.
This plan is non-transferrable, family members cannot be substituted in for another family member.
Treatment for dental injuries covered by workmen's comp, disability insurance, lawsuit, or outside medical care are not covered under this plan.
For treatment done outside the dental office.
For referrals to specialists.
For hospitalization or hospital charges of any kind.
For IV sedation or General Anesthesia services.

Terms of Payment

The 12-month membership is due in full upon enrollment.
Membership is effective on the day on which the full payment is received.
It is the sole responsibility of the member to maximize benefits by arranging the appropriate appointments within the 12-month membership period. If appointments are not used, the member will not be entitled to a refund.
Renewal payment is due at the beginning of each month of the original joining year.
With recurring (auto-renew) memberships, the member's credit card on file will automatically be charged on renewal date.
There will be a $50 reinstatement (late) fee if your membership lapses.
10% will be added to membership fee if it is paid by third-party financing.
Membership rates may be reviewed and adjusted on an annual basis.
Payment is due when services are rendered, otherwise discount is void!
During the 30 days grace period and before using your membership, you can receive a full refund. In the case that a member decides to get a refund after services have been rendered, a refund will be issued minus the FFS value of those services rendered.