In Office Benefits Plan

We are pleased to offer an In Office Benefit Plan for our patients who do not have dental insurance. Our plan has NO waiting periods, NO deductibles, and NO annual maximums. Our discount plan aims to save costs on your dental treatments performed at our offices. These services include routine hygiene appointments, dental fillings, crowns, implants and select periodontal surgical services. 

 

Please call our office directly to inquire about pricing (206) 546-4109

Prophylaxis Plan (for patients with healthy gums)

Periodontal Plan (for patients with gum disease)

2 annual dental prophylaxis cleaning

3 annual periodontal maintenance cleanings

BOTH PLANS INCLUDE THE FOLLOWING: 

2 routine dental examinations

All necessary routine dental x-rays

2 fluoride varnish applications

1 complimentary emergency exam and x-ray when definitive treatment is completed on the same day as diagnosis

15% discount on general dental procedures (e.g. fillings, deep cleanings, nightguards)

15% discount on crowns, bridges, implants, and associated implant crown restorations

15% discount on cosmetic services including dental veneers and custom whitening

15% discount on select periodontal surgeries including: extractions, bone grafting, soft tissue grafting and surgical periodontal therapy

 

Payment for all services are due and payable at time of service. Advance notice of at least 48 business hours is required for any missed or cancelled appointments. Any appointments missed or cancelled within 48 business hours are subject to a fee of $135 per hour reserved. 

 

Restrictions: This plan is intended for patients requiring routine care. Complex full arch restorative & implant cases are excluded from the above discounts. 

 

Plans will be valid 365 days from signed start date. Yearly payment is due upon start date. 

 

Print Name: _______________________________________________________________

 

Signature: _________________________________________________________________

 

Start Date: ________________________  Exp Date: ________________________________

 

This plan is valid only at our associated dental offices: Park Place Dental, Bothell Smiles Family Dentistry, North Seattle Implants & Periodontics