Dental Savings Plan

Welcome to the Broad Smiles Pediatric Dentistry & Orthodontics Dental Savings Plan

We offer a Dental Savings Plan to help you, our valued patient, receive the dental care you need. Dental treatment is an investment in your health. We realize that every person’s financial situation is different. For this reason, we have outlined the benefit savings plan . Thank you for choosing our office to meet your dental needs.

Annual Pricing

Platinum Member

2 Periodic Exams
1 Emergency Exam
4 X-rays (bitewings or periapical)
2 Fluoride Treatments
2 Prophylaxis

Active for 12 Months
See limitations and exclusions

Total Annual Cost

First Member 317.00
**each additional member $20.00 off
eg: $297.00 for second patient

Active for 12 Months
See limitations and exclusions

Additional Discounts

Receive an additional 15% off the below procedures

Fillings
Extractions
Pulpotomies
Crowns
Space Maintainers
Sealants
Orthodontics

Active for 12 Months
See limitations and exclusions

Ready to Get Started?

It's simple. Just download the form, fill it out, and bring it into the office on your next visit with your first annual payment. Call our office for any additional questions you may have.

Dental Savings Plan Enrollment Form

Terms and Conditions

  • All family members must live in the same household.
  • This is a dental discount plan and not dental insurance and cannot be combined with any other insurance plan.
  • Membership Dues are non-refundable and must be paid in full before enrollment begins.
  • If payment is required, it is due in full at the time of service.
  • The effective date of the plan is the day you enroll and is good for 12 consecutive months.
  • Cleanings must be completed before the end of the coverage date.
  • Membership is limited to Broad Smiles Pediatric Dentistry & Orthodontics, if you must be referred to a specialist, discounts will not apply at that location.
  • Membership fees or percentage discount is subject to change on a yearly basis.
  • Procedure fees are subject to change at the office’s discretion.

Questions? Contact our office. We're happy to help.

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