Dental Membership Plan Terms of Service

1. Membership Benefits

Members are entitled to:

  • Unlimited dental examinations

  • Unlimited diagnostic imaging (intraoral X-rays, panoramic & cone-beam scans)

  • Up to four (4) GBT cleanings per membership year

  • 10% savings on most dental services and treatments including clinically indicated:

    • Routine restorations (fillings)

    • Crown and bridge procedures

    • Endodontic (root canal) treatments

    • Extractions and other oral surgery

  • Digital scan storage for appliance replication

2. Reasonable Use Policy

2.1 General Guidelines

All membership benefits are subject to reasonable use as determined by standard dental practices and patient health needs. The practice reserves the right to:

  • Require minimum intervals between services based on clinical necessity

  • Schedule services based on provider availability

  • Determine appropriate frequency of services based on clinical judgment

2.2 Service-Specific Limitations

Examinations and Imaging

  • Must be clinically indicated and scheduled at intervals consistent with standard dental practice

  • Routine check-ups typically scheduled at 6-month intervals unless otherwise indicated

  • Additional exams available for acute dental issues or changes in oral health

Appliances (Whitening Trays, Retainers, Night Guards)

  • Replacements limited to circumstances of normal wear and tear, loss, or damage

  • Replacements subject to review and may incur additional charges

  • Digital scans updated annually or as clinically indicated

GBT Cleanings

  • Maximum of 4 per membership year

  • Minimum 3-month interval between cleanings unless clinically indicated

2.3 Membership Suspension

The practice reserves the right to:

  • Review usage patterns that significantly deviate from normal patient care standards

  • Suspend or terminate membership for fraudulent or abusive behavior

  • Require documentation for frequent replacement requests

3. Enrollment, Billing and Duration

  • Membership must be initiated by the patient and begins at check-out of first treatment or procedure

  • Membership fees are $97 per month

  • No minimum commitment period required

  • 30-day written notice required for cancellation

  • Members who cancel may not be eligible for re-enrollment in the membership program

  • Re-enrollment eligibility is at the sole discretion of the practice

4. Modifications

The practice reserves the right to:

  • Modify these terms with 30 days' notice to members

  • Adjust pricing with 60 days' notice to members

  • Discontinue the membership program with 90 days' notice to members

5. Exclusions

Membership benefits and discounts do not include:

  • Services provided by outside specialists or other practices

  • Emergency services provided outside of regular business hours

  • Cosmetic procedures beyond included services

  • Laboratory fees and costs associated with dental lab work

  • Dental products or take-home items

  • Other services as determined by the practice

6. Agreement

By enrolling in the membership plan, members acknowledge:

  • Understanding of these terms and conditions

  • Acceptance of reasonable use guidelines

  • Acknowledgment that cancellation may result in ineligibility for future re-enrollment

  • Authorization for monthly payment processing

Last Updated: Mar 7, 2025