Alpine Dental Plan
Many people are not getting the proper dental care they need. Alpine Dental has created a dental plan that certainly meets this need in our community.
Proper dental care is needed for overall health, confidence/self-esteem, and proper chewing. The #1 disease affecting us today is dental disease and the Alpine Dental Plan is designed for our community to get the care you need and deserve at an affordable price.
Alpine Dental & Wellness Discount Plan Agreement Form
What Makes Alpine Dental Plan Special
- NO 3rd Party Insurance Group
- NO claim forms
- NO deductibles
- NO annual maximums
- NO preauthorization's
- NO waiting periods for treatments
- NO pre-existing limitations
- NO applying necessary
- NO automatic renewal
You decide when your plan starts
*All Exams, X-rays, Fluoride, and Oral Health Instructions are included in the cost for the plan. All other services are 30% off regular price.
Membership Advantages
- Free Emergency Exams
- Free Fluoride Treatments
- Free Check up Exams
- No Participation Requirements
- 30% Off All Other Services
*does not renew automatically
SAMPLE SAVINGS
| Procedure | Usual Fee | YOU PAY | You SAVE |
| Complete Exam & X-rays | $388.00 | $0.00 | $388.00 |
| Emergency Exam | $80.00 | $0.00 | $80.00 |
| Annual X-rays | $104.00 | $0.00 | $104.00 |
| Limited X-ray | $34.00 | $0.00 | $34.00 |
| Simple Cleaning | $170.00 | $119.00 | $51.00 |
| Maintenance Cleaning | $275.00 | $192.50 | $82.50 |
| Fillings (range) | $199.00 - $375.00 | $139.30-$262.50 | $59.70-$112.50 |
| Root Canal (range)* | $890.00-$1290.00 | $623.00-$903.00 | $267.00-$387.00 |
| Crown | $1,250.00 | $875.00 | $375.00 |
| Full Denture (single Arch) | $1,800.00 | $1,260.00 | $540.00 |
| Implant** | $2,165.00 | $1,515.50 | $649.50 |
| Extraction | $392.00 | $274.40 | $117.60 |
* does not include tooth restoration
** does not include abutment and crown
FEES subject to change without notice
Plan Exclusions and Limitations
- Demonstration of non-compliance with recommended course of treatment
- Services which in the opinion of the attending dentist are neither necessary nor recommended for patient’s dental health
- Loss or theft of dentures or bridgework
- Services whch cannot be performed because of general health, physical or psychological limitation of patients
- Services performend by a non-participating provider are not covered
- Not to be combined with any other dental coverage
- Services that are not performed in our facility
- Plan cannot be combined with any other dental discount or coverage
- Must be paid at the time of service
- Individual only, nontransferable to any other parties
