Comprehensive Dental Plan

Comprehensive Dental Plan

The Oral & Facial Surgery Group Comprehensive Dental Plan is designed to provide affordability and greater access to quality dental care. Your benefits are available at any Oral & Facial Surgery Group location. Download the application form or get more information below.

With your Comprehensive Dental Plan there are:

  • No yearly maximums
  • No deductibles
  • No claim forms
  • No pre-authorization requirments
  • No pre-existing condition limitations
  • Immediate eligibility (no waiting periods)

Benefit Premiums

Total Annual Cost
Single $ 227.00
Dual* $ 439.00
Family* $ 698.00

*The Dual Plan is for Parent/Child or Husband/Wife only.

**The Dual Plan and Family Plan includes children who are enrolled full-time in college until age 25, or children who are not enrolled full-time in college until age 18.

Family Dental

Coverage Tables

Diagnositc & X-RAYS

Treatment Member Discount
Comprehensive Exam
(new patient, initial exam)
Periodic Exam (2 per yr) 100%
Limited Oral Exam
(Problem Focused — 1 per yr)
Intraoral—Complete Series or Panorex
(1 every 3 yrs)
Intraoral—Periapical, First Film 100%
Intraoral—Periapical, Each Additional Film 100%
Intraoral—Occlusal Film 100%
Bitewings (1 per yr) 100%


Treatment Member Discount
Child Prophylaxis
(cleaning)(2 per yer)/(after $5 co-pay)
Adult Prophylaxis(cleaning)(2 per yer)/(after $5 co-pay) 100%
(1 per yr, no age limit)/(after $5 co-pay)
Sealants 50%
Space Maintainers 50%

All Other Procedures

Treatment Member Discount
Bleaching 25%
Fillings 25%
Crowns 25%
Periodontics (General Dentistry) 25%
Dentures and Partials 25%
Oral Surgery(limited to extractions including third molar) 25%
Root Canals 25%

Program Exclusions & Limitations

This program is a discount plan, not a dental insurance plan.

It cannot be used:

  • In conjunction with another dental plan
  • For services for injuries covered under workman’s compensation
  • For treatment which, 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 which is covered under automobile medical


This plan is only honored at Oral & Facial Surgery Group locations.

Program Guidelines

  • There will be a $50 reinstatement fee if your plan lapses.
  • Cannot be used in conjunction with another dental plan.
  • No refunds or premiums will be issued at any time if participant decides not to utilize dental plan.


Patient’s portion of bill is due on the day of service.

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