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Wisdom Teeth Removal
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Patient Information for
Dunson Dental Design
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Membership
Signature PLan
Pricing
Single: $325/year
Dual: $625/year
Family of 3: $850/year
Family of 4: $1175/year
Additional: $300/year
Features
2 regular cleanings per plan year
2 periodic exams per plan year
1 limited/problem focused exam per plan year
4 bitewing x-rays per plan year
2 periapical x-rays per plan year
1 full mouth x-ray or 1 panoramic x-ray
2 flouride treatments/plan year for children up to the age of 18
Benefits
Sealants: 50% Off
Fillings: 15% Off
Extractions: 15% Off
Root Canals: 15% Off
Periodontal: 15% Off
Crown & Bridge: 15% Off
Partials/Dentures: 15% Off
ClearCorrect/Ortho: 10% Off
Implant Grafting: 10% Off
Design PLan
Pricing
Single: $425/year
Dual: $800/year
Family of 3: $1200/year
Family of 4: $1575/year
Additional: $400/year
Features
3 regular cleanings per plan year
2 periodic exams per plan year
1 limited/problem focused exam per plan year
4 bitewing x-rays per plan year
2 periapical x-rays per plan year
1 full mouth x-ray or 1 panoramic x-ray
4 flouride treatments/plan year for children up to the age of 18
Benefits
Sealants: 50% Off
Fillings: 20% Off
Extractions: 20% Off
Root Canals: 20% Off
Periodontal: 20% Off
Crown & Bridge: 20% Off
Partials/Dentures: 20% Off
ClearCorrect/Ortho: 15% Off
Implant Grafting: 15% Off
terms & Conditions
All payment re due at the time of service.
Can not be used for purchae of retail dental producs.
Can not be used/combined with any insurance plan that we are already in network with.
Courtesy fee reduction or included dental services are non transferable.
The pan is based on a benefit year commiment, and no part of it is refundable.
Benefits valid only at Duncan Dental Design or Smile Source Atlanta East
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