IN-HOUSE DENTAL PLAN

For Our Patients Without Insurance

In-House Dental Plan

For Our Patients Without Insurance

There is no id card, no group or member number to bring! All of your membership information will be kept in your electronic record. Your effective date is the day you sign up and your renewal date is the same date every year.

  • TWO CLEANINGS PER YEAR
  • DISCOUNTED DENTAL FEES
  • NO DEDUCTIBLE
  • NO PRE-AUTHORIZATION
  • NO WAITING PERIODS
  • COSMETIC DENTISTRY
  • ORTHODONTICS

Coverage Overview

Examination

Coverage Includes Discount
New Pt Comprehensive exam 100%
Periodic Exam (two/per) 100%
Limited Exam (Emergency-one/year) 100%

Radiographs

Coverage Includes Discount
Full Mouth X-rays (one /3 years) 100%
Bitewings (one set/year) 100%
Single tooth X-ray (three/year) 100%

Preventive

Coverage Includes Discount
Adult Cleaning (two/year) 100%
Child Cleaning (two/year) 100%
Fluoride (two/year) 100%
Sealants 50%

Everything Else

Coverage Includes Discount
Fillings 20%
Crowns, Bridges 20%
Root Canals*, Extractions* 20%
Dentures & Partials 20%
Implants* 20%
Nitrous Oxide 20%
Periodontal Therapy* 20%

*Procedures performed by Specialist (i.e. Periodontist, Oral Surgeons, Prosthodontists) are not covered by the Dental Plan regardless of the location where said procedures are performed.

Sample Fee Savings

Treatment Regular Fee Discount Fee
One Surface Filling $159 $127
Root Canal $995 $796
Porcelain Crown $1175 $940
Nightguard $695 $556

Yearly Membership Dues

child-exam
Family Members Dues
First Family Member $300
Second Family Member $200
Each Additional Member $150

Terms & Limitations

This is a dental discount plan and is not dental insurance. It cannot be combined with any other dental insurance. It is only for Advanced Dental Center of Summerville. Therefore, if you are referred to any specialist (including those practicing at Advanced Dental Center of Summerville) they will not offer this discount*. Should there be dental treatment needed following any type of injury where a lawsuit or outside medical care, disability or workman’s comp type insurances are involved, this plan cannot be used. Not to be used for treatment outside the scope of the treating dentist, nor is it to be used for referrals to specialist, or for hospitalization and/or charges of any kind. Not to be used for cost of dental care which may be covered under auto or medical insurance. This plan is non-transferable, family members cannot be substituted in for another family member. It is non-refundable, no refunds given if the patient chooses not to use their dental plan. The plan runs year to date from the initial purchase. It is the participant’s responsibility to use the plan during the coverage date and no extensions will be given. Cannot combine with other discounts. Rates are subject to change annually. Payment for services are due at the time of service. If you choose to extend your payment for treatment, the discount is reduced to 10%. This offer cannot be combined with any other offers. For orthodontic treatment, participant must remain a plan participant the entire duration of orthodontic treatment. Dental services only, products are not included.

*Procedures performed by Specialist (i.e. Periodontist, Oral Surgeons, Prosthodontists) are not covered by the Dental Plan regardless of the location where said procedures are performed.

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