Dental Savings Plan
PREVENTIVE DENTAL CARE
- Routine Preventative 100%
- Sealents (permanent teeth only, no age limit) $50
- Flouride (2 per yr, no age limit)
- Periodontal Gum Screening (one per year) No Charge
- Perio Scaling/Root Planning per Quadrant (D4341) $175
- Perio Scaling/Root Planning 1-3 Teeth/Quadrant (D4341) $100
- Periodontal Maintenance (D4910) 100%
- Tooth Colored Composite Fillings 20%
- Crowns/Onlays/Inlays 15%
- Oral Surgery 20%
- Root Canals 15%
- Dentures & Partials 15%
- Implants (restorative) 15%
- Bite Guard (Lab-Fabricated) $550
- Orthodontics (Invisalign/Full Case Only) $500 off
- Single $299.00
- Dual* $569.00
- Family (3)** $769.00
- Family (4)** $969.00
- Additional*** $169.00
- Periodontal Program $200
*The Dual Plan is for Parent/Child or Spouse/Spouse only.
**The Family Plan includes parents and their children enrolled full-time in college until age 23 or children not enrolled full-time in college until age 18.
***The cost for additional immediate family members is stated above.
Auto Renewal policy – 5% off
Sign up for auto-renewal of your discount plan and receive 5% off next year’s premium! Ask our front desk team members how to sign up for this great savings offer.
With your Dental Savings Plan there are:
- No yearly maximums
- No deductibles
- No claim forms
- No pre-authorization requirements
- No pre-existing condition limitations
- Immediate eligibility (no waiting periods)
Membership fees must be paid in full prior to receiving benefits. All co-payments must be paid at the time of service or the usual fees will apply.
May not be used in conjunction with Care Credit or Chase Health Advance third-party financing or special offers.
May not be used in conjunction with dental insurance plans. The plan is intended for those who do not have dental insurance. No refunds will be granted after the annual fee has been paid.
Offer is for one year of service from date of membership payment. Renewal rates may be subject to change. .
This plan is only honored at Northstar Family Dental
View our full Dental Savings Plan Brochure.