Smile Saver Plan
Spencer Family Dental: Smile Saver Plan
Our goal at Spencer Family Dental
is to save
your smile. Having no insurance should not be a
determining factor for your oral health care. This
is why we have created our Smile Saver Plan,
because when there is no coverage, we have
got you covered.
Quality Dental Care For the Whole Family
The Benefits:
Child Benefits: ($825.00 Value)
● 2 Exams per year of plan
- Comprehensive Exam (once every 5 years,D0150)
- Periodic Exam (D0120)
● All Necessary Hygiene X-rays (D0274 orD0272, Pano (D0330)FMX D0150 (covered every 5 years)
● 2 Routine Cleanings (D1120 or D1110)
● 2 Flouride Treatments (D1206)
● 35% off all Sealants (D1351)
● Oral Hygiene Instructions (D1330)
● 20% off all other services
- Comprehensive Exam (once every 5 years,D0150)
- Periodic Exam (D0120)
● All Necessary Hygiene X-rays (D0274 orD0272, Pano (D0330)FMX D0150 (covered every 5 years)
● 2 Routine Cleanings (D1120 or D1110)
● 2 Flouride Treatments (D1206)
● 35% off all Sealants (D1351)
● Oral Hygiene Instructions (D1330)
● 20% off all other services
Adult Benefits: ($1025.00 Value)
● 2 Exams per year of plan
- Comprehensive Exam (once every 5 years, D0150)
- Periodic Exam (D0120)
● All Necessary Hygiene X-rays (D00274, FMX D0210,(covered every 5 years),Pano (D0330)
● 2 Routine Healthy Mouth Cleanings (D1110) or 2 routine periodontal
- Comprehensive Exam (once every 5 years, D0150)
- Periodic Exam (D0120)
● All Necessary Hygiene X-rays (D00274, FMX D0210,(covered every 5 years),Pano (D0330)
● 2 Routine Healthy Mouth Cleanings (D1110) or 2 routine periodontal
cleanings (D4910)
● Periodontal Health Screening (D0180)
● Oral Cancer Screening (D0431)
● Extra Oral Exam
● Oral Hygiene Instructions (D1330)
● 20% off any Additional Service(except implants and multi unit bridges get 10%)
● Oral Cancer Screening (D0431)
● Extra Oral Exam
● Oral Hygiene Instructions (D1330)
● 20% off any Additional Service(except implants and multi unit bridges get 10%)
Pricing of Our Plan:
● Single Person Plan $355.00 per year
●Family Plan (Includes 2 Members) - $685.00 per year
● Each Additional Family Member Added to the Plan - $330.00 per year
● ALL FEES ARE NON-REFUNDABLE AND PRICES CAN CHANGE WITHOUT NOTICE
●Family Plan (Includes 2 Members) - $685.00 per year
● Each Additional Family Member Added to the Plan - $330.00 per year
● ALL FEES ARE NON-REFUNDABLE AND PRICES CAN CHANGE WITHOUT NOTICE
Membership Renews Yearly on Anniversary of Enrollment
SPENCER FAMILY DENTAL’S SMILE SAVER PLAN Call for more information 508-885-5511
Contact us in Spencer, Massachusetts, to schedule an appointment
for general or pediatric dental care.
