Wellness Plan

Description of Service:

Please see the enclosed materials for a specifc description of the programs that you have purchased. Limitations, Exclusions & Exceptions: This program is a discount membership program ofered by PEAKDENTAL. You are obligated to pay for all dental care services at the time of your appointment. The discounts contained herein may not be used in conjunction with any other discount plan or program. All listed or quoted prices and subject to change without notice. From time to time, PEAKDENTAL may ofer products or services to the their patients lower than the discounted prices available through this program. In such event, members will be charged the lowest price.

 

Sample List of Approximate Savings

Procedure UCR Fee Cost with Plan Member Savings
Comprehensive Oral Exam $142 $71 $71
Periodic Exam $79 $46 $33
X-Ray, Bitewings (Four Films) $97 $55 $42
Cleaning (Prophylaxis) – Adult $137 $86 $51
Sealant Per Tooth $82 $49 $33
Filling Surface Resin (White) – Front (Anterior) Tooth $250 $137 $114
Complete Upper Denture $2,670 $1,870 $800
Root Canal – Molar $1,497 $1,044 $453
Porcelain Crown $1,608 $1,045 $563
Comprehensive Orthodontic Treatment – Adult $6,670 $5,986 $684

Terms & Conditions

Renewal Conditions: By joining the wellness plan, you are authorizing PEAKDENTAL to bill your credit card or checking account for the plan. This charge shall remain in force until you notify PEAKDENTAL of request to cancel. By joining, you indicate you have read the terms and conditions of the plan. This plan will automatically renew at the end of our membership term on an annual basis, and your credit card or bank account will be automatically charged or drafted for appropriate amount. 

Termination Conditions:

PEAKDENTAL reserves the right to terminate plan members from its plan for any reason, including non-payment. Cancellation Conditions: You have the right to cancel within the frst 30 days as long as the plan is not utilized within the cancellation period. If the plan is utilized within the cancellation period and discounts are received the cancellation period is void and no refunds will be given. 30 days notice period prior to your anniversary date to cancel plan.

Exclusions and Limitations

• This program is a discount plan, NOT a dental insurance plan.
• It is ONLY ofered to patients with NO dental insurance.
• Lab Fees are excluded in this plan

PEAKDENTAL Wellness Plan cannot be used:

• In conjunction with another dental plan
• In conjunction with another dental discount plan
• For cost of dental care that would be covered under automobile medical/ dental claims
• For services or injuries covered under worker’s compensation
• For treatment facial esthetic procedures such as Botox, Fillers or PRP Facials.
• For Dental products such as teeth whitening gels and toothbrushes

Peak Dental

780 E. Main St
Bartow, FL 33830
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Hours

Monday - Thursday: 7:30 a.m. to 5 p.m.
Friday: 8 a.m. to 5 p.m. (every other week)

Phone

863-533-9471

Fax

863-519-6481

Email Address

[email protected]