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In House Dental Plan

​Comprehensive Dental Services

In House Dental Plan

    Program Guidlines

  • Membership and benefits effective immediately upon payment of yearly fees.
  • Your plan’s efective date will be on file at the office.
  • Benefit fee table is subject to revision annually.
  • This plan cannot be used in conjunction with another dental plan.
  • No refunds or premiums will be issued at any time if participant decides not to utilize plan.
  • This plan is honored only at Thornton Valley Dental.

  • Program Limitations

    This program is a discount plan and not a dental insurance plan. It cannot be combined with any other insurances and cannot be used:

  • For services for injuries covered under workman’s compensation
  • For treatment which, in sole opinion of the treating doctor, lies outside the realm of their capability
  • For referrals to specialist
  • For hospitalizations or hospital charges of any kind
  • For costs of dental care which are covered under automobile or medical insurance
Eligibility: You and your spouse are eligible, as well as your children under the age of 22 who reside with you or attend school.

TOTAL ANNUAL COST

  • Single $275.00
  • Dual: $475.00
  • Family (up to 5 people) :$675.00
  • Each Additional Child: $150.00

Diagnostics and Exams

  • Comprehensive Exam
    (new patients and initial exams)100%
  • Periodic exam (2 per year) 100%
  • Limited/ Problem Focused Oral Exam
    (one per year) 100%

X - Rays

  • Bitewings (1 set per year) 100%
  • Inraoral Complete Series or
    Panorex (one every 3 years) 100%
  • Intraoral- Periapical, First Film 100%

  • No yearly maximums
  • No deductibles
  • No preauthorization requirements
  • No pre-existing condition limitations
  • No waiting periods

Preventative

  • Child Prophy (2 per year) 50%
  • Adult Prophy (2 per year) 50%
  • Flouride (1 per year) 75%
  • Sealants 50%

Other Procedures Discount

  • Bleaching 50%
  • Fillings, Deep Cleaning,
    Maintenance Cleanings 40%
  • Crowns, Dentures and Partials 25%
  • Oral Surgery (excluding third molar extractions and implants) 25%
  • Root Canals 25%