Begin your dental plan registration by filling out the form below.
Once completed, you will finish your registration at the office where someone will help you choose the plan right for you, and your billing will start.
You will choose one of these dental plans when you finish your registration in the office.
Plan Name | Monthly | Yearly |
Preventative Care2 Exams, 2 Cleanings, 2 Fluoride treatments, 1 Set of bitewing x-rays, 1 Panoramic or full mouth x-ray (every 3 years), 1 Comprensive exam (every 3 years), 25% off of services or goods. $50 fee at time of visit. One-time fee of $200 for all new patients (includes new patient comprehensive exam). |
$20.00/ mo | $240.00/ yr |
Periodontal Maintenance2 Exams, Periodontal maintenance visits (as recommended by the doctor), 2 Fluoride treatments, 1 Set of bitewings, 1 Panoramic or full mouth x-ray (every 3 years), 1 Comprehensive exam (every 3 years), 25% Off of services or goods. $75 fee at time of visit. One-time fee of $200 for all new patients (includes new patient comprehensive exam). |
$20.00/ mo | $240.00/ yr |
Your registration has been received. We look forward to seeing you at your next visit.
For additional questions, please contact us at (317) 571-9610.
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