Dental Savings Plan
PREVENTIVE DENTAL CARE
- Comprehensive Exam 100%
- Periodic Exam (2 per year) 100%
- Limited Oral Exam (problem focused, 1 per year) 100%
- Full-Mouth Series (1 every 5 years) 50%
- Intraoral-Periapical, X-Ray 100%
- Bite Wing X-Ray (1 per year) 100%
- Child Cleaning, D1120 (2 per year) 100%
- Adult Cleaning, D1110 (2 per year) 100%
- Sealants (permanent teeth only, no age limit) 20%
- Fluoride (2 per year, no age limit) $20
- Periodontal Gum Screening (one per year) No Charge
- Perio Scaling/Root Planning per Quadrant (D4341) 20%
- Perio Scaling/Root Planning 1-3 Teeth/Quadrant (D4341) 20%
- Periodontal Maintenance (D4910) 25%
- All Other Periodontics 20%
- 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) 25%
- Orthodontics (Invisalign/Full Case Only) $500 off
- ZOOM Whitening Ask in office
- Single $279.00
- Dual* $549.00
- Family (3)** $749.00
- Family (4)** $949.00
- Additional*** $149.00
*The Dual Plan is for Parent/Child or Husband/Wife 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 per-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.