Join Pella Family Dentistry's
Membership Plan.
No Dental lnsurance? No Problem !
Our plan includes preventative dental care and a savings
on restorative work such as fillings and crowns.
Patients who participate in our ln-House
Membership plan experience:
- No yearly maximum
- No deductibles
- No limitations for pre-existing treatment
- No pre-authorizations
- No waiting periods
Program Guidelines
- The cost of the Pella Family Dentistry
Membership plan is subject to change
annually.
- The cost of the plan is non-refundable.
No refunds will be issued if patient
elects not to utilize.
- Membership fees are due the day of
joining program.
- Procedures such as Sleep Apnea &
lnvisalign are not included in the plan.
- Membership expires one year from
joining the program.
- Plan's effective date and record of
usage will be maintained by PFD.
- Patient's portion of bill is due on
day of service.
We gladly accept personal checks, credit cards,
debit cards and cash.
Dental Exclusions & Limitations:
Cannot be used in conjunction with
other dental plans or dental insurance.
For treatment which, in the sole opinion
of the doctor, lies outside the realm of
their capacity.
For hospitalization or hospital charges of
any kind.
For costs of dental care which are
covered under automobile or medical
insurance.
For services of injuries covered under
worker's compensation.
For dental procedures that are referred
to specialists.
No savings on consumable items such as
whitening, power brushes, fluoride
toothpaste, etc.
Contact Us
Contact Us if you have any questions about
our membership plan, please contact us at 641-628-2671.
For our patients without insurance our
membership plan simplifies payments for
preventative care and offers savings
on treatment.
Our Plans
ADULT
$415/year
A Value of $599
- For patients with regular dental cleanings
(no periodontal disease)
- Routine cleanings (two per year)
- Routine oral exams (two per year)
- 4 Bitewing x-rays
- Panoramic as needed
- 1 emergency exam per year (lf needed)
- 10% off additional cleanings & restorative
treatment when paid the day of service
- Procedures such as Sleep Apnea &
lnvisalign are not included in the plan
PERIODONTAL
S645/year
A Value of $864
- For patients with periodontal (gum)
disease
- Periodontal maintenance cleanings
(3-4 per year as determined by your dentist)
- Routine oral exams by your general
dentist (two per year)
- 4 Bitewing x-rays
- Panoramic as needed
- 1 emergency exam per year
(lf needed)
- 10% off additional cleanings &
restorative treatment when
paid the day of service
- Procedures such as Sleep Apnea &
lnvlsalign are not included in the plan
CHILD
$375/year
A Value of $641
- For children 11 & under
- Routine cleanings (two per year)
- Routine oral exams (two per year)
- 2-4 Bitewing x-rays
- Panoramic as needed
- Fluoride treatment (two per year)
- 1 emergency exam per year if needed
- 10% off additional cleanings &
restorative treatment when paid the day
of service
- Procedures such as Sleep Apnea & lnvisalign are not included in the plan