Dental Savings Plan

Dental Savings Plan

Our commitment to providing the best possible dental care doesn't end simply with patients who have access to dental insurance. With that in mind, we have crafted an inĀ­house dental savings plan (DSP) to provide affordability and greater access to quality dental care.


With your comprehensive dental plan there are:

  • No Yearly Maximums
  • No Deductibles
  • No Claim Forms
  • No Waiting Periods
  • No Preauthorization Requirements
  • No Pre-Existing Condition Clauses

Cost of Plan

Total Annual Cost
Adult $325
Child $295
Adult Perio $375

Program Guidelines

The cost of the Walsworth Family Dentistry Membership Plan is subject to change annually.

The cost of the plan is NON-REFUNDABLE. No refunds will be issued if patient elects not to utilize.

Plan's effective date and record of usage will be maintained by DFD.

Patients portion of bill is due on day of service.


Coverage Tables

Diagnostic And X-rays

Treatment Member Discount
Comprehensive Exam
(new patient, lnltla/vlslt)
100%
Periodic exam (2 per year) 100%
Full mouth Radiographs
Or panorex (every 3-5 years)
100%

Preventative

Treatment Member Discount
Child prophylaxis (cleaning) (2 per year)
Additional Visits
100%
Adult Prophylaxis (cleaning) (2peryear)
Additional visits -or with Perio plan-
15%
Adult Periodontal Maintenance (2 per year) 100%
Additional visits 15%
Fluoride
(2 per year,no age limit)
100%

All Other Procedures

Treatment Member Discount
Filling 15%
Whitening 15%
Crowns 15%
Periodontics (General dentistry) Dentures and Partials 15%
Oral Surgery (extractions) 15%
Root Canals 15%
Implants (Placement and Restoration) Sealants 15%

Program Exclusions and Limitations

This program is a discount plan, not a dental insurance plan. It cannot be used:

  • In conjunction with dental insurance or another dental plan
  • For services or injuries covered under workman's compensation
  • For treatment which, in the sole opinion of the treating dentist, lies outside the realm of his/her capabilities
  • For referrals to specialists
  • For hospitalization of hospital charges of any kind
  • For costs of dental care which are covered under automobile, homeowners, or medical insurance

OCR Notice of Nondiscrimination

Walsworth Family Dentistry complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color national origin, age, disability, or sex.

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