Register Username* Password* Repeat Password* Office Location* CHOOSE LOCATIONWEST COLUMBUSLOGANASHLANDEAST COLUMBUSZANESVILLEMARIONSPRINGFIELDAKRONDAYTON Name Suffix* Sr.Jr. First Name* Last Name* Date of Birth* Age Patient Type*New PatientExisting Patient Phone Number* E-mail* Confirm your email address:* Address Area Zip Code State Name Select State City Name Primary dental insurance* Secondary Dental Insurance* I allow the website to collect and store the data I submit through this form.*Subscription Plans - $99 / 1 YearBasic Membership Plan 1 exam (any type) 1 panoramic Xray (if needed) 1 set of Full Mouth Xrays (if needed) 20% off All treatments 10% off All Orthodontic treatments Learn More × Discounts do NOT apply to insurance copays or deductibles that our office is required to collect as part of your insurance plan. Discounts do not apply to already discounted items. This is an annual membership plan that automatically renews each year. No refunds can be provided for this plan. If you do not wish for it to be renewed, please make sure to let our office know either in writing or by logging into your portal to change the subscription status (before the renewal date). Memberships with free cleanings do NOT include "full mouth debridements (FMD)" or "deep scaling and root planing cleanings (SRPs)." If you were diagnosed with periodontal disease and require deeper or more comprehensive cleanings, we will NOT be able to provide you with the basic cleaning as it will not be beneficial and may actually make the current state worse. The amount and types of Xrays taken/included are dependent on the patient's age and dentition. Under the spirit of not over-exposing our patients, we only take xrays that the doctor deems necessary to diagnose. Typically, patients with full permanent dentition will have a full series of xrays taken (14-18 films) unless their anatomy prevents us otherwise. Please understand that we cannot have any jewelry worn from the neck up during the Xray exposures. If you choose to finance with our Healthcare Financial (HFD) program, you must finance at the regular treatment price rather than the with the 20% off discount. If you finance with CareCredit, you can still enjoy the membership discounts. Copies of your xrays can be emailed for a fee of $80. Keep in mind that the free perks of Xrays, Exams, and cleanings are not what you are paying for in the annual fee. The annual fee is for our membership plan that provides you discounts to our services. This means that if you do not use the exam, xrays, or cleaning perks, there is not a refund we can provide. The membership plans are a great way to help discount services that aren't typically covered by your insurance company or if you are outside of your benefit limitations. Terms and conditions can change at any time. Memberships can be revoked at the company's discretion. Refunds for memberships can only be provided if we are unable to provide services to you. If your membership already auto-renewed and you do not wish to continue the membership, no refunds can be provided. Please write or call us if this is an option you'd like to take. Sign Up - $199 / 1 YearComprehensive Plan 2 exams (any type) 1 Panoramic Xray (if needed) 1 Set of Full Mouth Xrays (if needed) 1 set of Bitewing Xrays (six months after the Full Mouth Xrays if needed) 1 Basic cleaning (per year) 20% off All treatments 15% off All Orthodontic treatments Learn More × Discounts do NOT apply to insurance copays or deductibles that our office is required to collect as part of your insurance plan. Discounts do not apply to already discounted items. This is an annual membership plan that automatically renews each year. No refunds can be provided for this plan. If you do not wish for it to be renewed, please make sure to let our office know either in writing or by logging into your portal to change the subscription status (before the renewal date). Memberships with free cleanings do NOT include "full mouth debridements (FMD)" or "deep scaling and root planing cleanings (SRPs)." If you were diagnosed with periodontal disease and require deeper or more comprehensive cleanings, we will NOT be able to provide you with the basic cleaning as it will not be beneficial and may actually make the current state worse. The amount and types of Xrays taken/included are dependent on the patient's age and dentition. Under the spirit of not over-exposing our patients, we only take xrays that the doctor deems necessary to diagnose. Typically, patients with full permanent dentition will have a full series of xrays taken (14-18 films) unless their anatomy prevents us otherwise. Please understand that we cannot have any jewelry worn from the neck up during the Xray exposures. If you choose to finance with our Healthcare Financial (HFD) program, you must finance at the regular treatment price rather than the with the 20% off discount. If you finance with CareCredit, you can still enjoy the membership discounts. Copies of your xrays can be emailed for a fee of $80. Keep in mind that the free perks of Xrays, Exams, and cleanings are not what you are paying for in the annual fee. The annual fee is for our membership plan that provides you discounts to our services. This means that if you do not use the exam, xrays, or cleaning perks, there is not a refund we can provide. The membership plans are a great way to help discount services that aren't typically covered by your insurance company or if you are outside of your benefit limitations. Terms and conditions can change at any time. Memberships can be revoked at the company's discretion. Refunds for memberships can only be provided if we are unable to provide services to you. If your membership already auto-renewed and you do not wish to continue the membership, no refunds can be provided. Please write or call us if this is an option you'd like to take. Sign Up Processing. Please wait...Send these credentials via email.
