Dental Care Plan

Healthy Smiles Club

Dental Care Plans for You and Your Family


At Revive Dental Arts, we understand that quality dental care can be costly for patients without dental insurance. That’s why we created the Revive Dental Arts Healthy Smiles Club Membership Plan – a revolutionary new way to keep your smile healthy and bright while saving money! Unlike traditional dental insurance plans that involve high premiums and limited coverage, our membership plan offers no deductibles, no maximums, no qualifications, pre-existing conditions, pre-determinations, or any of the other red tape that can make dental insurance so confusing and annoying.

For Patients Age 15 +

Adult Membership

$31 Per Month ($372 Annually)

Total Savings: $643 Per Year

Includes:

  • Professional Dental Cleanings 2x per year
  • Dental Exams 2x per year
  • X-rays as needed
  • One Emergency Exam per year (if needed)
  • 15% of other dental treatments

For Patients Age 6-14 years old

Child Membership

$25 Per Month ($300 Annually)

Total Savings: $687 Per Year

Includes:

  • Professional Dental Cleanings 2x per year
  • Dental Exams 2x per year
  • X-rays as needed
  • One Emergency Exam per year (if needed)
  • 15% of other dental treatments

For Patients Age 15 +

Periodontal Membership

$43 Per Month ($516 Annually)

Total Savings: $771 Per Year

Includes:

  • Periodontal Cleanings 3x per year
  • Doctor Exams 2x per year
  • X-rays as needed
  • One Emergency Exam per year (if needed)
  • 15% of other dental treatments

For Patients Age 5 & under

Pediatric Membership

FREE ($0 Annually)

Total Savings: Priceless

Includes:

  • Professional Dental Cleanings 2x per year
  • Dental Exams 2x per year
  • X-rays as needed
  • One Emergency Exam per year (if needed)
  • 15% of other dental treatments
  • 1 Child Age 5 and under per Adult Membership plan

* Adult, child 6-14 and Perio Memberships**receive $500 off of ComprehensiveInvisalign treatment

Membership Plan Terms

  • This is an in-office discount plan for Revive Dental Arts, not dental insurance.
  • This plan cannot be used in conjunction with another dental plan, discount, or promotion.
  • Enrollment fees must be paid in full prior to the first cleaning in order to receive discount.
  • All cleanings must be used within 1 year or the offer will become void and benefits will be lost.
  • All treatment must be completed during the plan in order to receive the discount.
  • All payments are nonrefundable and no refunds will be given to a member for not using the plan or from obtaining dental insurance.
  • Calendar year plan, prorated after July 1st. **
  • Plan auto-renews January 1st, 30 day written notice to cancel auto-renewal.
  • Failure to keep a scheduled appointment can result in cancellation fees, and more than 2 could result in you being dropped from this plan without refund.
  • *Does not include specialist
  • ** Call for details

I, __________________________________________, do herby understand the policies and limitations of the Health Smiles Club in-office Discount Dental Plan for Revive Dental Arts. Furthermore I understand the office policies at Revive Dental Arts and agree to them. Date: _________________

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