We are pleased to offer our Loyalty Dental Program to help make quality care more affordable for our patients at Dr. Tammy Perison’s office. The Loyalty Dental Program is not a dental insurance program, and it is only honored at Perison Dental. This discount program can help you receive discounted rates on a variety of our services, including dental implants, tooth-colored fillings, Invisalign®, oral surgery, crowns and bridges, root canal therapy, laser treatment, and much more.

BENEFIT PREMIUM
TOTAL ANNUAL COST

$278 per person

COVERAGE MEMBER DISCOUNT
PREVENTIVE & X-RAYS

Comprehensive & Periodic Exam (2 per year) 100%
First Set Complete Series of X-Rays 100%
Bitewings (1 set per year) 100%
Prophylaxis (Hygiene Maintenance) 2 per year 100%
Additional Prophylaxis 20%
Fluoride $8
All other Preventive 20%
Periodontal Services 20%

BASIC RESTORATIVE
Fillings & Core Build-Ups 20%

MAJOR RESTORATIVE
Crowns & Ceramic Restorations 15%
Veneers 15%
Extractions & Oral Surgery 15%
Root Canals 15%
Partials & Dentures 15%
Implants 15%
Orthodontics Invisalign $500 off regular case
Ortho Retainers 15%
Whitening (Opalescence In-Office) $450
w/ take home trays Add $150
Take Home (including trays) $250

Program Guidelines
• There will be a $50 reinstatement fee if your plan lapses.
• Cannot be used in conjunction with another dental plan.
• NON-REFUNDABLE AND NON-TRANSFERABLE.
• No refunds or premiums will be issued at any time if participant decides not to use dental plan.
*Patient’s portion of bill is due the day of service.

Program Exclusions & Limitations
The Program is a discount plan, not a dental insurance plan, and is secondary to any other dental plan. It cannot be used:

• In conjunction with another dental plan.
• For services for injuries covered under workman’s compensation.
• For treatment that, in sole opinion of the treating dentist or doctor, lies outside the realm of their capability.
• For referrals to specialists.
• For hospitalization or hospital charges of any kind.
• For costs of dental care that is covered under medical insurance.

This plan is only honored at Perison Dental. This dental discount plan is not an insurance plan that can be used with any other dental office.

For more information about our Loyalty Dental Program, please call us today at 716-674-5256!