Patient Appreciation Program

Premiums

Payment occurs annually.  One month before your contract expires you will receive a letter instructing you to call our office to renew.  If there is an increase in premium, you will be notified in this letter.  Credit card info can be updated at this time

Costs are as follows:

  • Single person ($115/year)  
  • Husband & wife or significant other ($155/year)
  • Family of three or more ($175/year).

Children are covered under the plan till age 26.  Enrollment is open the beginning of every quarter, or full premium is expected if a patient joins in the middle of the quarter. The enrollment is for a one year period.

How does the program work?

There is a co-pay of $35 for each cleaning/recall (limited to two/year), and emergency/office visits. All necessary X-rays are included in the fee.

Any broken appointment will follow the office protocol and normal $ penalties will apply.

Discounted fees are applied (For list of discounted fees see below)

We do not recommend the program to an insurance patient since our in-office insurance program will be secondary payer, and there will be minimum benefit to an insurance patient.

                                                                 

Discounted Fees:


 

Procedure  

Fillings


 One Surface Amalgam 

Two Surface Amalgam 

Three Surface Amalgam 

Four Surface Amalgam 

Anterior One Surface Resin

Anterior Two Surface Resin 

Anterior Three Surface Resin 

Anterior Four Surface Resin 

Posterior One Surface Resin

Posterior Two Surface Resin

Posterior Three Surface Resin

Posterior Four Surface Resin

Fee


 

$121

147 

175 

205 

 142 

 173 

 206  

255

153

187

239

275 

Fee under plan

 

 
$96

117

140

164

113

138

165

204

122

149

191

220

 

 

 Root Canals

Anterior Tooth (one canal)     

Bicuspid Tooth (two canal)

Molar Tooth



$650

800

975



$520

640

780


 

Crown & Bridge    

Single Crown (Ceramic) 

Fixed Bridges 

Extractions:

Simple

Surgical



$1,054

 1,064/unit 

 

$145

251

 

 $750

850/unit 

 

$116

200