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diamond plan
Why was this plan
developed?
We wish to offer a unique opportunity for the employees of businesses in the area to participate in an affordable, quality, dental health plan. We are a prevention-oriented family general practice and we provide patients with high quality dentistry in a relaxed and comfortable atmosphere.

During these current economic times and given the high cost of dental insurance, we recognize that it is very difficult for many businesses to provide their employees with dental insurance. By eliminating costs involved with billing insurance companies and patients, thereby increasing our office efficiency, we are able to lower the cost to each patient while maintaining the highest quality treatment.

This plan will allow businesses in our area to offer employees and their families a dental plan in a private practice setting.

We feel this plan is unmatched for low-cost, quality care including a wide range of benefits.
Plan Guidelines

Services and fees are guaranteed for one year. Initial fee is non-refundable. Our plan is for you and is non-assignable to another person. One-year time limit for completion of all services provided by the plan. Work started before end of the plan year will be completed if the work can be finished within one moth after the expiration of the plan year (at Doctor's discretion).

It is the patient's responsibility to make sure they schedule and show up for their appointments. Appointments are required.

There is a $35 fee for a 1/2 hour broken appointment without giving 24-hour advance notice. Then $35 will be charged for each additional 1/2 hour (such as one hour for longer appointment) without giving 24-hour advance notice.

Only dental procedures listed in the Fee schedule are included. Any other work or referred specialty work will not be included.

After hours emergency treatment NOT included.

Payment is due at the time service is rendered.

Regular, customary office fees will be charged if billing is necessary.
What does the plan
include?
  1. Initial Exam:
    • Comprehensive dental exam
    • Complete periodontal evaluation including periodontal probing and tooth mobility chart ing
    • Oral cancer screening
    • Head and neck exam
    • Treatment plan presentation
  2. Cavity Detector X-rays, if necessary
  3. Prophylaxis (cleaning) including Oral Hygiene Instruction
  4. Six-Month Continuing Care Prophylaxis
  5. eriodic Exam at Prophylaxis
  6. Fluoride Treatment Provided for Children 14 years of age and under at Each Cleaning Appointment
Fee Schedule
Plan Effective Date: Two (2) weeks from day our office receives Enrollment Payment.
Service Regular Office Plan
Fee
Intracal PA $26 $16
FMX 169 145
Emergency Visit 76 58
Sealants - Pit & Fissures 60 51
Amalgam (Silver) Restorations:
Primary & Permanent
1 Surface 132 99
2 Surface 163 124
3 Surface 200 149
4 Surface 244 185
Composite (White)
1 Surface Anterior
Posterior
153
165
102
114
2 Surface Anterior
Posterior
185
215
141
171
3 Surface Anterior
Posterior
227
277
164
214
4 Surface Anterior
Posterior
268
339
178
249

Crown (Cap) & Bridgework

Porcelain Fused to Metal 1123 973
All Porcelain Crown 1100 925
Post & Core or Buildup 330 265
Fixed Bridgework - per Unit 1123 973
Re-cementation 106 89

Prosthetics (Per Arch)
Full Dentures 1595 1377
Partial Dentures 1665 1470
Partial Dentures (Immediate) 1690 1498
Implant 1850 1650

Periodontics (Gum Treatment)
Scaling & Root Planning (Per Quadrant 1-3 teeth) 157 124
Scaling & Root Planning (Per Quadrant 4 or more teeth) 218 179
Periodontal Cleaning 121 101

Endodontics* (Root Canal)
One Root Tooth (Front) 870 720
Pre-Molar.Bicuspid 915 765
Molar 1175 1025
Direct Pulp Cap 72 60
Indirect Pulp Cap 74 62

Extrations*
Simple 143 127
Surgical 240 172
Root Tip 263 232
     
Whitening Trays 495 395


* There is a $35 fee for each 1/2 hour broken appointment without 24-hour notice!

Any Services that are not listed are available at a 15% discount off normal fees, excluding implants. Lab fees will incur additional cost.

Cost of This Plan

Enrollment:
individual $254
Couple $345
Family $445
($50.00 per each individual beyond three members in a family)
FEES
Regular       Plan :
Initial Exam
$81 Included
Prophylaxes (cleaning)
2 per year ($97 each)
$194 Included
Cavity Detectors $42 Included
Fluoride Treatment (19 yrs. and younger)
Periodic Exam
$39 Included
2 per year ($50 each) $100 Included
Total $456 Included

For your convenience, we offer evening and Saturday hours.
Advantages of Our Plan
Over Dental Insurance
  • No yearly maximum for benefits.
  • No Deductible.
  • No exclusion of pre-existing conditions.
  • No contracts
  • No insurance company fees to increase dental fees.
  • No claim forms or other "red tape."


diamond plan
“You deserve professional thorough attention…Every Time!”
508-771-4555
700 Attucks Lane, Suite 2B
Hyannis, MA 02601
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