In-House Patient Plan

Apple Valley Family Dentistry – Apple Valley, South Minneapolis, West St. Paul MN

For our patients without insurance, we are excited to offer the following In House Payment Plan.
• Two Cleaning Visits Per Year
• Discounted Dental Fees
• No Annual Maximum
• No Deductible
• No Pre-Authorization
• No Wondering How Much Insurance Will Pay Toward Your Treatment
• No Waiting Periods
• Cosmetic Dentistry Included

COVERAGE INCLUDES

Examination
• New Patient Comprehensive Exam 100%
• Periodic Exam (two/year) 100%
• Limited Exam (emergency-one/year) 100%

Radiographs
• Full Mouth X-rays (one/3yrs) 100%
• Bite-wings (one/year) 100%
• Periapical (3/year) 100%

Preventive
• Adult/Child Cleaning (two/year) 100%
• Fluoride (one/year) 100% (Child only)
• Everything Else- 20% Off
• Periodontal Therapy
• Fillings
• Crowns, Bridges
• Root Canals, Extractions
• Dentures & Partials
• Implants
• Sedation
• Cosmetic Dentistry
• Invisalign
• Sealants
• Oral Cancer Test (Velscope or Vizilite)

YEARLY MEMBERSHIP DUES
First Family Member $360.00
Additional Family Member $275.00
**Note: All family members must live in the same household. All membership information will be kept in your electronic record.

SAMPLE FEE SAVINGS
20% Off
Regular Fee Discount Fee
One surface filling $166.00 $132.80
Anterior Root Canal $879.00 $703.00
Porcelain Crown $1325.00 $1106.00
Nightguard $725.00 $580.00
Extraction $230.00 $184.00

TERMS AND LIMITATIONS
• This is a dental discount plan and is NOT dental insurance and cannot be combined with any other dental insurance.
• It is good only for Apple Valley Family Dentistry. Lake Nokomis Family Dentistry and West St. Paul Family Dentistry. Therefore, if you are referred to a specialist, they will NOT offer this discount. Should there be dental treatment needed following any type of injury where a lawsuit and therefore outside medical, care disability or workman’s compensation type insurance is involved, this discounted plan can not be used.
• This plan is NON-Transferable. Family members cannot be substituted in for another family member. It is NON-Refundable – no refunds given if patient chooses not to use their dental plan. Rates are subject to change annually.
• Payments for services are due at time of service.
• This offer cannot be combined with any other offers. For orthodontic treatment, participant must remain a plan participant the entire duration of orthodontic treatment.
• Dental services only, products are not included.