The My Friend’s Dentist Membership Plan includes the following services for each member: Regular adult or child cleanings (D1110 or D1120) twice a year, bitewings (D0274) once a year, full mouth x-rays (D0210) and/or a panoramic image (D0330) once every 3 years, a comprehensive new patient exam (D0150), two periodic exams (D0120), one emergency exam (D0140) per year, and two oral cancer screenings per year. In addition, all restorative, cosmetic and specialty dental services are available at a 15% discount from the standard fee. Periodontal maintenance visits not included in regular cleanings, unless specified.
The program is not valid for previous or ongoing work and cannot be combined with other discounts or insurance plans. Discount is applied to standard list fees and payment is due on date of service. Services not rendered within the annual period do not roll-over into the next year. Members may cancel their membership within 30 days of initiation or renewal and receive a full refund in the event that no services have been rendered or pro-rated from standard fees for the services completed.
Annual membership auto-renews on the members enrollment date. Adherent to the Practice Policies, in the event that a patient is dismissed from My Friend’s Dentist, they will forfeit any reimbursement for their membership fee. Annual renewal is required to remain in the membership program and guarantor assumes responsibility for annual payment for all members listed in the plan.
Questions regarding the membership should be sent to firstname.lastname@example.org