Please ask one of our friendly front desk team members for an application.

Our IN-HOUSE PLAN:

✓ NO yearly maximum

✓ NO deductible

✓ NO claim forms

✓ NO pre-authorization requirements

✓ NO health questions

✓ NO pre-existing condition limitations

✓ NO one will be denied coverage

✓ No waiting period (for major dental procedures)

✓ Cosmetic dental procedures are included

✓ ✓ ✓ FREE consultations 

You will not be singled out for rate increases or cancellations. You will not receive a membership card. Your plan’s effective date will be on file with our office.

Sign up for auto-renewal of your dental savings plan and receive 5% OFF next year’s premium!

Our Plans Annual Cost

Single Adult Plan = $399 (savings of $356 off our normal fees)

Dual Plan* = $767 (savings of $743 off our normal fees)

Family of 3** = $1,004 (savings of $1261 off our normal fees)

Family** or 4** = $1,224 (savings of $1796 off our normal fees)

Each additional person $145

Save over $1,400 compared to Average Dental Insurance/AARP in the first year!

*The dual plan is for parent/child or husband/wife only.

**The family plan includes family members and children under 18 or children who are enrolled in college full-time until the age of 23.

INCLUDED IN YOUR PLAN:

✓ 1 Comprehensive Exam

✓ 1 Annual Exam

✓ 1 Emergency Exam (used any time during the year)

✓ 2 Cleanings (Prophylaxis or Periodontal Maintenance)

✓ 2 Oral Cancer Screenings

✓ 2 Fluoride Tooth Desensitizing Treatments

✓ 4 Bitewing X-rays

✓ Any Individual X-rays needed throughout the year

✓ Full Mouth Series of X-rays or Panorex

✓ 20% OFF Additional Cleanings, Dental Sealants,

✓ Fillings, Core Buildups, Oral Surgery

✓ 15% OFF Crowns, Veneers, Periodontics, Root Canals,

✓ Dentures, Partials, Implants

✓ Half off Whitening for New Patients

✓ CBCT X-rays at 50% OFF

Coverage Discounts

Diagnostic & x-Rays:

Comprehensive Exam = 100%
(New patient/initial visit)

1 Annual Exam = 100%
(Children under 18 recieve two free annual exams a year)

1 Emergency Exam = 100%
(Annual or emergency)

4 Bitewing X-Rays = 100%
(1 time per year)

Periapical, First Film = 100%

Periapical, Each Additional Film = 100%

Complete Series X-rays or Panorex = 100%
(1 every 5 years)

Preventive:

Child Prophylaxis = 100%
(2 cleanings per year)

Adult Prophylaxis = 100%
(2 cleanings per year)

Flouride = 100%
(2 per year, no age limit)

Oral Cancer Screenings = 100%
(2 per year)

Additional Cleanings Per Year = 20%

Dental Sealants = 20%

All Other Procedures:

Fillings And Core Buildups = 20%

Oral Surgery = 20%

Root Canals = 15%

Crowns = 15%

Veneers = 15%

Periodontics = 15%

Dentures And Partials = 15%

Implants = 15%

Teeth Whitening = 50%
(For New Patients)

Program Guidelines

Patients agree that Mark P. Gerald Family Dentistry's fees stated must be paid at the time services are rendered. Any service not paid for at the time of service will be billed at usual and customary fees. Plan fees are valid only when paid at the time of enrollment. All family members must reside in the same household. This is not an insurance product.

• Patient’s portion of bill is due the day of service.

• There will be a $50 reinstatement fee if your plan lapses.

• Cannot be used in conjunction with another dental plan.

• CareCredit may not be used to pay a D$P premium.

• No refunds of premiums will be issued at any time if participant decides not to utilize dental plan.

• D$P annual premiums must be paid with either cash, check or credit card. NON-REFUNDABLE.
  

Program Exclusions & Limitations

• This program is a discount plan, not a dental insurance plan. It cannot be used:

• For treatment which, in the sole opinion of our doctors lies outside their scope.

• For referrals to specialists.

• For hospitalization or hospital charges of any kind.

• For costs of dental care which are covered under automobile medical.

• For services of injuries covered under workers’ compensation.

• In conjunction with another dental plan, dental insurance, or financing program such as CareCredit.

• For nitrous oxide administration in office or take home medications, such as prescription toothpastes and rinses.

  This plan is only honored at Mark P. Gerald Family Dentistry. It cannot be used at any other dental office.