LOYALTY MEMBERSHIP PLAN, INSURANCE & PAYMENT INFO


LOYALTY MEMBERSHIP PLAN

White & Johnson Pediatric Dentistry is pleased to offer a Loyalty Membership Plan designed to provide affordable dental care and promote good oral health for those patients who do not have dental insurance.

Plan:
Single patient plan                                            $299 Annual Premium
Additional Family Members                          $285 Annual Premium (each additional patient)

Benefits:
(2) Routine Exams FREE
(comprehensive, periodic, & under 3 years old)                           
(2) Prophylaxis Cleaning FREE (D1110 & D1120) with a routine exam                                                    
(2) Fluoride Treatments with a routine exam FREE
Routine X-rays with a routine exam FREE
(bitewings & periapicals)                                                        

No annual maximum benefits.
No waiting periods.
No prior authorizations needed.

Receive up to a 15% discount on other dental procedures:                                                                
- Panoramic Films
- Additional Fluoride treatments
- Additional Prophylaxis treatments (D1110 & D1120)
- Limited Problem Focused Exams
- Sealants
- Space maintainers
- Fillings
- Crowns
- Endodontic treatment
- Extractions
**Discounts are not valid on dental products or specialty services.   No additional discounts can be combined with the membership plan.**


DENTAL INSURANCE

Our office is not a participating provider with any dental insurance company; however, we will file your insurance as a courtesy.  We do not file secondary insurance but will give you the proper forms and instructions to file it yourself after the primary insurance has paid.  Please know you are responsible at the time of the visit for what we estimate your insurance company will not pay. If our estimate was not enough, we will send you an invoice for the balance; if our estimate was too much we will happily refund you the amount owed.  Please call for additional information on certain insurances and our specific policies and call your insurance company to inquire about how they treat out-of-network providers.
*Please note: if you are sending your child with another caregiver other than yourself (the legal guardian), payment is still due at time of service.


PAYMENT OPTIONS

We accept Cash, Visa, Discover, Mastercard and American Express.   

We DO NOT ACCEPT CHECKS of any kind for payment.  We apologize for any inconvenience and would be happy to explain our policy to you if you like.  910-686-1869.