In House Dental Plan
Dental Savings Plan
Benefits of Membership: NO waiting period, NO annual maximum, NO deductible
*some exclusions may apply*
|Doctor Exam (two per year)||100%|
|Emergency Exam (one per year if needed)||100%|
|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%|
|Adult Cleaning (two per year)
Perio Cleaning (four per year)
Child Cleaning (two per year)
|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
- 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.
- Adult Member (age 14 and over on date of purchase)- $375 annually
- Adult Perio Member- $550 annually
- Child Member (age 13 and under on date of purchase)- $325 annually