Compare the cost of membership in our plan with the premiums you may be paying for traditional dental insurance. You may be pleasantly surprised by the savings you will enjoy at our office.
Click here to view and print our Great Smile Dental Discount Plan Enrollment Form.
Preventive Dental Care
(New Patient Initial Visit D0150)
|Periodic Exam D0120||No Charge|
|Limited Oral Exam
(Problem Focused; 1 per year) D0140
|Full Mouth Series (Every 3 years) D0210||No Charge|
|Intraoral-periapical First Film D0220||No Charge|
Each additional film D0230
|Bite-wings (1 per year) D0272||No Charge|
|Adult Prophylaxis (2 per year) D1110||No Charge|
|Oral Cancer Screening||No Charge|
|Periodontal Gum Screening (once per year)||No Charge|
|Tooth-Colored Composite Fillings||15%|
|Crowns / Onlays / Inlays||15%|
|Dentures and Partials||15%|
|Whitening (At-Home / In-Office)||15%|
|Bite Guard (Lab-Fabricated)||15%|
|Orthodontics (Invisalign® / Full Case Only)||15%|
Membership fees must be paid in full prior to receiving benefits. All payments must be paid at the time of service or the usual fees will apply.
Great Smile Dental Discount Plan may not be used in conjunction with dental insurance plans or any other promotion. This plan is intended for patients who do not have dental insurance. No refunds will be granted after the annual fee has been paid.
Offer is for one year from date of membership payment. Renewal rates may be subject to change.
THE PATIENT AND ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS THE RIGHT TO REFUSE TO PAY, CANCEL PAYMENT, OR BE REIMBURSED FOR PAYMENT FOR ANY OTHER SERVICE, EXAMINATION, OR TREATMENT THAT IS PERFORMED AS A RESULT OF AND WITHIN 72 HOURS OF RESPONDING TO THE ADVERTISEMENT FOR THE FREE, DISCOUNTED FEE OR REDUCED FEE SERVICE, EXAMINATION, OR TREATMENT. Additional charges may be incurred for related services, which may be required in individual cases.
Disclosure: This discount program is NOT a dental insurance policy and does not make payments directly to dental service providers. Members are obligated to pay for all dental services. Members will receive discounts on dental services.
*The dentists are employees and independent contractors of Great Smile Dental. (Aaron Schamback, D.M.D. License No. DN15739)
The Great Smile Dental discount plan does not apply to treatment plans or fees paid prior to purchasing the Great Smile Dental discount plan.