Northwoods Dental’s Dental Savings Plan

Benefits – Effective 12 months to the day of purchase for:

Adults: 18 & older for $299 , Children: 17 & younger for $249

No Waiting Periods, Deductibles or Annual Maximums!

  • 2 regular exams (D0150 or D0120) and 2 cleanings (D1110 or D4910) each year from the date of the signed and paid contract
  • 20% courtesy on periodontal cleanings (D4910 or D4345 or D4341) including laser therapy
  • All x-rays are included with your cleaning visits (D0272, D0273, D0274, D0330) except 3-D imaging
  • Annual fluoride treatment (D1208)
  • Annual oral cancer screening 20% courtesy on all crowns, bridges, implants, fillings, dentures, emergency exams (D0140), extractions, bleaching and laser treatment

Limitations:

  • Benefits of plan are only available in our office
  • This plan is not part of any other insurance or discount plan
  • Services cannot be filed to dental insurance Plan benefits not available with any other discount offer or products

This Dental Savings Plan offers significant discounts on dental services. I understand the benefits, limitations, exclusions and requirements of this plan and agree to the following:

  • Any fees for dental services are due when the services are rendered.
  • Fees for prosthodontic (dentures) and indirect restorations (crowns, bridges, veneers, inlays, onlays) are due on the preparation/impression appointment.
  • Fees for single appointment CAD/CAM restorations are due on the date of service.
  • Member benefits may not be used with any other offers or insurance plans.
  • Members must remain in the plan a minimum of 12 months.