DENTAL SAVINGS PLAN
Smile Safari Pediatric Dentistry Dental Savings Plan is a membership based in-house dental discount plan that offers numerous benefits and significant cost savings for patients without insurance. We would like to offer our parents without dental insurance a low cost alternative without the hassles of deductibles, claim forms, monthly premiums, treatment restrictions, waiting periods, referrals and pre-determinations. There are no restrictions on when to schedule your routine dental examinations. In addition, your membership entitles you to save on any treatment that may be necessary.
TWO comprehensive dental exams per 12 months at any interval
TWO cleanings per 12 months at any interval**
TWO fluoride applications per 12 months at any interval
ONE emergency exam per 12 months at any interval
Unlimited periapical and bitewing radiographs as needed***
15% off of our normal fees for all other treatment
Exclusions and Limitations
Membership is effective the date in which payment is received and terminates one year later.
Membership is only renewed if a new agreement is signed each year and the membership dues are paid.
Care Credit and other third-party health care financing options may not be use to pay for membership dues or treatment. In the event a patient chooses to use Care Credit, all treatment will be billed as using usual and customary fees with no fee reduction or discounts applied.
Co-payments must be paid at the time of service. Any service not paid at the time of service will be billed at usual and customary fees.
No payment plans are offered under this membership program. No additional courtesy savings will be applied.
This dental savings plan is not a dental insurance program and Smile Safari Pediatric Dentistry is not a licensed insurer, health maintenance organization or other underwriter of health services.
This plan can only be used at Smile Safari Pediatric Dentistry and not be combined with other discounts.
This dental savings plan is not transferable, and cannotbe used with any dental insurance coverage. It is the sole responsibility of the member to maximize their benefits by arranging all the appropriate appointments within the 12-month membership period.
There is no coverage for treatment, which in the sole option of the treating dentist, lies outside their realm of his/her capability. Discount will not cover treatment that the dentist cannot perform or for treatment that is referred to a specialist.
**For most children under age 3 seen in our laps or for those who are unable to cooperate for a cleaning with a motorized handpiece, we will use a toothbrush.
***Radiographs will only be taken to diagnose or rule out dental caries and oral pathology and does not include panoramic radiographs.
For any questions about coverage please call (469) 232-2300 or email us at firstname.lastname@example.org.
Plan and Fees
INFANT / TODDLER PLAN (0 TO 3 YEARS OF AGE)
$150 per patient per year
CHILD PLAN (4 TO 11 YEARS OF AGE)
$250 per patient per year
ADOLESCENT PLAN (12 TO 18 YEARS OF AGE)
$350 per patient per year