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In House Dental Membership Plans

Explanation of Tiers

No annual maximum or deductibles
No pre-authorizations
Immediate eligibility - No waiting periods
Significantly reduced dental fees

Annual Membership Dues

Adult Member:

Tier 1- $900/year
Tier 2- $1495/year
Tier 3- $1995/year

Child Member:

$625 (15% off for additional children added to the plan)

This is NOT dental insurance.

Enrolling in our In-House Membership Plan gives you the opportunity to receive your dental treatment exclusively at our practice for reduced fees. It cannot be combined with dental insurance or other reduced fee dental plans. Please see our Terms and Limitations for more detailed information.

Examinations	Covered Tier	Coverage Adjustment
Comprehensive Exam ( New Patient Only )	Tier 1 Tier 2-Tier 3	$125 OFF Included
Periodic Exam (3 per year)	All Tiers	100%
Limited Oral Exam, Problem-Focused	All Tiers	100%

X-Rays/Diagnostic Films	Covered Tier	Coverage Adjustment
Intraoral – Complete Series or Panorex x-rays	All Tiers	100%
Intraoral – Periapical film x-rays	All Tiers	100%
Bitewing x-rays (1 set per year)	All Tiers	100%

Preventative	Covered Tier	Coverage Adjustment
Child Prophylaxis (Routine cleaning – 3 per year)	Tier 1	100%
Adult Prophylaxis (Routine cleaning – 3 per year)	Tier 1	100%
Adult Prophylaxis (Routine cleaning – 4 per year)	Tier 2-Tier 3	100%
Perio Maintenance (3 cleanings per year)	Tier 1	100%
Perio Maintenance (4 cleanings per year)	Tier 2-Tier 3	100%
Clear Aligner Therapy	All Tiers	500$ OFF

Ozone Benefits	Covered Tier	Coverage Adjustment
Perio Ozone (Added onto 2 cleanings)	Tier 2	100%
Perio Ozone (Added onto 3 cleanings)	Tier 3	100%
Caries Remineralization Treatment	Tier 3	50%

Dental Coverage	Covered Tier	Coverage Adjustment
Major Dental Services	Tier 1 Tier 2 Tier 3	10% OFF 15% OFF 20% OFF

Esthetic & Holistic Services	Covered Tier (Mix & Match)	Coverage Adjustment
Acupuncture	1x per year-Tier 1 3x per year-Tier 2 6x per year-Tier 3	N/A
Guasha	1x per year-Tier 1 3x per year-Tier 2 6x per year-Tier 3	N/A
Moxa	1x per year-Tier 1 3x per year-Tier 2 6x per year-Tier 3	N/A
Chair Massage	1x per year-Tier 1 3x per year-Tier 2 6x per year-Tier 3	N/A
Hydro Facial	1x per year-Tier 1 3x per year-Tier 2 6x per year-Tier 3	N/A
Body Waxing	1x per year-Tier 1 3x per year-Tier 2 6x per year-Tier 3
Lash/Brow Lamination	3x per year-Tier 2 6x per year-Tier 3	N/A
PRP Treatment	6x per year-Tier 3	N/A
HIFU Treatment	6x per year-Tier 3	N/A
Body Contouring	Tier 3-30% off 10 sessions	N/A
Morpheus8	6x per year-Tier 3	N/A
Additional Holistic/Esthetic Services	Tier 2 Tier 3	10% OFF 20% OFF