Common Contracts

1 similar Membership Plan Agreement contracts

Membership Plan Agreement
Membership Plan Agreement • June 28th, 2024

Two cleanings per year (adult prophylaxis-D1110), Two check-up exams per year (periodic eval-D0120), Regular dental x-rays (bitewings-D0274 or D0277, full mouth series-D0210, panoramic-D0330, periapical-D0220 or D0221), Two fluoride treatments (D1206), One emergency exam (for a toothache, broken tooth, or other dental emergency-D0140) and 10% off any additional treatment (excluding implant procedures, orthodontic treatment, CBCT imaging, and products).

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