Fill out the following form to apply for our in-office dental plan:

Dental Plan Application Form

Benefits of our dental plan include:

  • No annual maximum
  • No deductible
  • No wondering whether insurance will pay towards your treatment
  • No waiting period (you can start treatment today!)
  • No preauthorization is ever required!
  • Cosmetic dentistry is included!!

Membership benefits:

  • Initial comprehensive exam, x-rays and healthy mouth cleaning with fluoride.
  • Six month check up with exam and health mouth cleaning
  • One emergency exam and x-ray
  • All dental treatment completed within 12 months of enrollment will be discounted by 20% if paid in full at time of service
  • This includes elective cosmetic procedures like teeth whitening, crowns, and veneers

Annual cost: Individual plan: $295
Annual cost for each additional family member: $199