MEMBERSHIP INFO

IN-OFFICE DENTAL MEMBERSHIP PLAN

We are pleased to offer an in-office dental benefit program for our patients who do not currently have dental coverage. This plan is similar to dental insurance, allowing our patients to receive optimal dental care while maintaining their oral health.

WHAT'S INCLUDED

Your annual fee includes:

- Two dental cleanings

- Two oral exams.

- Four bite-wing diagnostic x-rays

- Two fluoride treatments

- Periodontal evaluation at each visit

- Oral cancer screening at each visit

- Panorex every three years


  • No waiting period
  • No claim forms
  • No yearly maximum
  • No deductibles
  • No "pre-authorizations" required
  • No "missing tooth clause"


All general dentistry procedures have a 20% discount from our regular fees*


*If you utilize Care Credit financing, your discount is 15% on those procedures.

Annual Membership Dues

Individual.................$315

Couple.....................$565

Family (up to 4)..,.....$695

 

(each additional person: $150)

DOWNLOAD APPLICATION FORM

Membership Details

You may purchase a membership for yourself, or any other family member not having dental insurance. "Family" includes spouses and dependent children up to the age of 26, children who are full time students.

 

Family members can enroll at different times of the year. The coverage year will remain the same for all family members, based on the expiration date of the first family member to enroll. The 12 month membership fee is due upon joining. Membership is not transferable to another party or uncovered family member. Exams, bite-wing x-rays and cleanings must occur within the year of enrollment and cannot be carried over to the next year.

 

This is NOT dental insurance. It is a dental membership plan that can only be used at Hewlett Family Dental.

 

To receive the 20% discount for dental procedures, payments must be made at the time services are provided, or member will be charged at regular office price.

 

Member is responsible for maximizing their benefits by arranging all appropriate appointments within the 12 month membership period. If the appointments are not used, the member will not be entitled to a refund.

 

Discounts under your membership do not apply to any treatment prior to joining.

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