NORTH BAY DENTAL GROUP, Dr. Edalati

IN-HOUSE DENTAL PLAN

BENEFITS OF MEMBERSHIP:

EXAMINATIONS RADIOGRAPHS

New Pt/comprehensive exam 100%
Periodic exam (two/year) 100%
Limited exam (pain, etc.-three/year) 100%

Full mouth series (one/5yrs) 100%
Bitewings (one set/year) 100%
Periapical (first film & 5 add’l/year) 100%

PREVENTIVE CARE

Adult cleaning (two/year) 100%
Child cleaning (two/year) 100%

Fluoride (one/year) under 16 years 100%

“EVERYTHING ELSE”

All other services are given a 50% DISCOUNT
Scaling & Root Planing
Fillings
Crowns, Bridges

Cosmetic Dentistry
Root Canals
Extractions
Dentures & Partials

ADDITIONAL BENEFITS:

  • No preauthorization required
  • No annual maximum
  • No deductible
  • No waiting periods or pre-existing exclusions
  • Cosmetic dentistry is included

MEMBERSHIP DUES:

Prices are figured at a yearly rate, and are as follows:

Individuals: $27.00
Family up to four members: $55.00

Additional family members: an additional $ 10.00 each

TERMS AND LIMITATIONS OF THE PLAN:

Family members cannot be substituted in for another family member Your effective date is the day you sign up and your renewal date is the same date every year Monthly payments are for coverage; even if services are not rendered, payments for coverage are not refundable.
This is a dental discount plan and is NOT dental insurance. It cannot be combined with any other dental insurance Co-payment is due at time of service for any work received Rates are subject to change annually with prior notice It is NON-refundable-no refunds are given if patient chooses not to use their dental plan.
Membership is good only at Vallejo Dental Associates, therefore if you are referred to a Specialist, discounts offered to members will not apply