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Emergency Dental of America Membership Agreement
Membership Agreement • February 24th, 2024

Service Description Quantity Comprehensive or Periodic Exam Comprehensive oral evaluation 2 Visits for new patients1 Visit for established patient Gum Health Screenings Comprehensive assessment of gum tissues 2 Visits Emergency Exam Limited Oral Evaluation - problem focused by report 1 Visit Healthy Mouth Hygiene Visit Prophylaxis - Adult 2 Visits Oral Cancer Screening Adjunctive pre-diagnostic test that aids in 2 visits detection of mucosal abnormalities including premalignant and malignant lesions, not to include cytology or biopsy procedures. 2 Units Fluoride Varnish Application Topical application of fluoride varnish 2 Visits Bitewing X-rays (set of 4) Bitewings - four radiographic images 1 Unit Full Mouth X-rays or Panoramic film Full mouth series of X-rays or Panoramic film 1 Unit Hygiene Services 20% OFF all hygiene services needed to treat moderate to severe gum disease N/A Restorative Services 15% OFF all additional services (excluding products) Unlimited max benefit

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