Financial Info

OUR IN-HOUSE DENTAL SAVINGS PLAN

You can get access to high-quality and affordable dental care with our Dental Savings Plan. We offer Basic Savings Plans for individuals, couples, and families with low annual costs.

Our Basic Savings Plans give you and your family the coverage you need to maintain a healthy smile and to help with necessary procedures.

Use the menu below to learn about the Basic Savings Plan details and exclusions. Feel free to contact our office if you have any questions.


Download Application

BENEFITS OF OUR DENTAL SAVINGS PLAN

• No yearly maximums

• No claim forms

• No pre-authorization requirements

• No pre-existing condition limitations

• Immediate eligibility (no waiting periods)

BASIC SAVINGS PLAN COVERAGE

DIAGNOSTIC & X-RAYS

Comprehensive Exam

(new patient, initial visit)

100%

Periodic Exam (up to 2 per year)

(child under age of 18 [2 per year])

100%

Limited Oral Exam (2 per year)

(problem-focused exam)

100%

Additional Exams***

15%

Full Set X-rays and/or Panorex

(once every 3 years)

100%

Periapical – First Film

100%

Periapical – Each Additional Film

100%

Bitewings (1 set per year)

100%

Special Radiographs (i.e. CBCT)***

15%


Preventive Care

Child Prophylaxis (cleaning)

(2 per year)

100%

Adult Prophylaxis (cleaning)

(2 per year)

100%

Additional Prophylaxis per year***

15%

Periodontal Maintenance (Specialized cleaning for those with history of gum disease, value of $110)

30%

Fluoride

(2 per year, no age limit)

100%

Sealants***

15%


All Other Procedures

Custom Whitening Trays & Gel (orig. $375)

$275

Comprehensive Exam

(new patient, initial visit)

100%

Fillings and Core Build-Ups***

10%

Crowns***

10%

Veneers***

10%

Periodontics***

10%

Dentures and Partials***

10%

Oral Surgery***

10%

Root Canals***

10%

Implants***

10%

Invisalign (orig. $5000)

$4800

******When using CareCredit or LendingPoint, discount reduced by 5%

BASIC DENTAL SAVINGS PLAN PREMIUMS

BASIC SAVINGS PLAN

TOTAL ANNUAL COST

SINGLE

$439

DUAL*

$839

FAMILY (3)**

$1189

FAMILY (4)**

$1489 + $239 per add’l person

* The Dual Plan is for the Parent/Child or Husband/Wife/Partner

**The Family Plans include family members and children who are enrolled full-time in college until the age of 23, or children who are not enrolled full-time in college until the age of 18

SIGN UP FOR OUR DENTAL SAVINGS PLAN

Please fill out the application and either bring it to our office or send it by mail. You can download the application and print it at home, or ask for an application the next time you are in our office.

If you have any questions please give us a call – we would love to help!


Download Application

AUTO-RENEWAL POLICY: 5% DISCOUNT

Sign up for auto-renewal of your discount plan and receive 5% off next year’s premium! Ask our front desk team how to sign up for this great offer!

Program Exclusions

The program is a discount plan, not a dental insurance plan, and is secondary to any other dental plan. This plan is only honored at MT West Dentist. This dental savings plan cannot be used with any other dental office.

IT CANNOT BE USED:

  • In conjunction with another dental plan
  • For services for injuries covered under workman’s compensation
  • For treatment, which, in the sole opinion of the treating dentist or doctor, lies outside the realm of their capability
  • For referrals to specialists
  • For hospitalization or hospital charges of any kind
  • For costs of dental care which is covered under automobile medical
  • In conjunction with coupons or cash discounts

DENTAL SAVINGS PLAN GUIDELINES

  • No other discounts may be used with this offer
  • Membership is not transferable or for resale
  • Cannot be used in conjunction with another dental plan
  • NON-REFUNDABLE
  • No refunds of premiums will be issued at any time if a participant decides not to utilize the dental plan
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