Annual Dental Savings Plan As a benefit to our patients without dental insurance, our office has created an Annual Dental Savings Plan. In addition to a Prevention Package, this plan also provides you with a 10% savings on all dental services. We hope this plan will allow you to enjoy optimal health. Prevention Package • 2 Routine Prophylaxis (cleanings) • Bitewing x-rays per year • Oral exam, including oral cancer screening • Fluoride treatment Fee: $397 ($445 value!) Prevention Package (children 13 and under) • 2 Routine Prophylaxis (cleanings) • Bitewing x-rays • Oral exam • Fluoride treatment • Oral hygiene instruction Fee: $357 ($467 value!) Periodontal Maintenance Package • 3 Periodontal Therapy appointments • Oral exam • Bitewing x-rays • Fluoride treatment Fee: $567 ($633 value) ***All other dental services are provided at a savings of 10%! Guidelines: 1. Savings plan only eligible at the office of Dr. Michael Long. 2. All fees due and payable at time of registration. 3. For 4 or more family members, 6-month financing is available. Family members are defined as spouse and dependent children under 26 years old. We will auto-bill your credit card monthly. 4. Fees paid are non-refundable. *** 5. Prevention Package is for a one year term, starting at registration date. 6. All additional charges are due the day of service. 7. This is a dental savings plan, not a dental insurance plan.