Membership Plan

Dental Discount Plan
Total Annual Plan Cost:
Single $299.00 (Savings of over $250 off UCR Fees
Each Additional Member $150.00
Our basic plan for $299 includes the following:

$20 Off Our Whitening Trays

The Family plan is for family members living under the same address and children under the age of 18 or childern who are enrolled in a college full time until the age of 25.

COVERAGE

Diagnostic And X-rays  
DO150 Comprehensive Exam 1 per lifetime
New Patient/Initial Visit
100%
D0120 Annual Exam 100%
D0140 2 Limited/Emergency Exam
Problem-focused tooth 2 per year
100%
D7240 Bitewings X-rays (1 time per year) 100%
DO220 Periapical X-ray First Film 100%
DO210 Complete Series (FMX)
Not to be included Panorex
100%
CT (3D Imaging) Scan 50%
Preventative
Child Prophylaxis D1120 (1 Cleaning per year up to age 18) 100%
Adult prophylaxis D1110 (1 Cleaning per year) 100%
Oral Cancer Screening (2 per year) 100%

All Other Procedures

Filling up to 3 surfaces, Core Buildup Not to include post Percentages/Fees are based on(UCR)

Additional Regular Cleanings per year D1110 or D1120 20%
Dental Sealants 20%
Oral Surgery D7210 (Dr. Karimyan Only) 20%
Initial Root Canal 20%
Crown 20%
Bridge 20%
Laser 20%
Veneers (Lab) 15%
Dentures/Partials 15%
Ozone 15%
Perio Maintenance D4910 15%
Implants D6010 (Dr. Karimyan Only) 10%
Invisalign Trays 10%

An Invisalign member must remain a plan member for the duration of the treatment to retain discount plan benefits.

Over $400.00 in savings compared to Average Dental Insurance/AARP in the first year!
The patient agrees that the Office Fees stated must be paid in full at the time services are rendered.
Any service not paid for at the time of service will be billed out to the patient at our usual & customary fees (UCR)

Program Guidelines

• The patient's portion of the bill is due on the day of service.
• Percentages/Fees are based on the Usual Customary & Reasonable Fees (UCR)
• There will be a $50 reinstatement fee if your plan lapses.
• Cannot be used in conjunction with another dental plan or financing program such as Care Credit.
• No refunds of premiums will be issued at any time if the participant decides not to utilize the dental plan.
• NON-REFUNDABLE

Plans Exclusions & Limitations

This program is a membership plan, not a dental insurance plan.
It cannot be used as follows:
• In conjunction with another dental plan, dental insurance, or financing programs such as Care Credit
• For treatment which, in the sole opinion of our doctors, lies outside the realm of their capability.
• For referrals to specialists.
• Hospitalization or hospital charges of any kind.
• For costs of dental care which are covered under automobile medical.
• For services of injuries covered under workers' compensation.

Auto-Renewal Policy = 5% Off!
Sign up for the auto-renewal policy of your dental savings plan and receive 5% off next year's premium!
This plan cannot be used at any other dental office. Ask the Smile Team how to sign up for this great offer!

What Our Patients Say

Read what our recent patients had to say about our doctors and staff.