In House Dental Plan

Dental Savings Plan

Benefits of Membership: NO waiting period, NO annual maximum, NO deductible

*some exclusions may apply*

Examinations
Doctor Exam (two per year) 100%
Emergency Exam (one per year if needed) 100%
Radiographs
Bitewing x-rays (one set per year) 100%
Peri-apical x-rays (two per year if needed) 100%
Panoramic x-ray (one every five years) 100%
Preventative Care
Adult Cleaning (two per year)
Perio Cleaning (four per year)
Child Cleaning (two per year)
100%
Fluoride (two per year up to age 14) 100%
Sealants (up to age 14) once per lifetime permanent molars 100%
15% discount on additional services
  • Fillings
  • Crown/Bridge
  • Extractions
  • Dentures/Partials
  • Cosmetic Dentistry
  • Scaling and Root Planning
  • Root Canals
  • Implant Restorations
Terms and Limitations of the plan:
  • Cannot substitute member for another person
  • Your effective date is the day of sign up. The renewal date is 365 days from the sign up.
  • All dental treatment must be completed before the end of the coverage date to qualify for the discount.
  • This is a dental membership discount plan, and cannot be combined with dental insurance.
  • Payment is due at the time of service for any treatment not covered at 100%.
  • Rates are subject to change annually.
  • Membership dues are non-refundable.
  • Membership is only valid at Kirol Family Dentistry.
  • Cancellation fee applied if less than 24 hour notice.
  • Discount does not apply to products.
  • Membership dues to be paid in full upon purchase of plan.
Membership Dues:
  • Adult Member (age 14 and over on date of purchase)- $400 annually
  • Adult Perio Member- $600 annually
  • Child Member (age 13 and under on date of purchase)- $365 annually

To sign up for our In House Dental Savings Plan, please contact us by clicking here.