If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.
The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete an online appointment request.
For your convenience, we accept
- personal checks
- money orders
- and most major credit cards.
Payment is expected at the time services are performed. Feel free to contact our office If your treatment plan requires more comprehensive dental work and you want to discuss financial arrangements.
We also accept:
- Dental Insurance
Please contact our office for Insurance details. We look forward to hearing from you.
One Fine Plan: A Comprehensive Dental Plan
Our focus is always on patient happiness. We know that dental work can get expensive, and that’s why we decided to offer qualified patients One Fine Plan, an in-office dental savings plan. One Fine Plan is designed to help our patients get the quality care they deserve, for a percentage off the usual and customary fees. Unlike insurance, this plan has no deductibles, no annual maximums and no waiting periods.
There is no pre-qualification needed to utilize the plan. It is a great way to assist the qualified patient in obtaining affordable dental care. One Fine Plan is not a licensed insurance company, health maintenance organization, or other underwriter of health services. If you have any questions regarding this plan, please feel free to contact our office at (708) 383-1234.
What Is The One Fine Plan?
|Benefits||Frequency & Percentages|
INCLUDES ALL NECESSARY X-RAYS
|FREE 1X PER YEAR|
|CLEANINGS||FREE 2X PER YEAR|
| FLUORIDE TREATMENTS|
UP TO AND INCLUDING AGE 16
|FREE 1X PER YEAR|
|SEALANTS||FREE 1X PER YEAR|
| BASIC RESTORATIVE|
| MAJOR RESTORATIVE|
CROWNS & BUILDUP
| ORAL SURGERY|
SIMPLE & SURGICAL EXTRACTIONS
|NIGHT GUARDS||15% OFF|
PARTIALS, DENTURES & BRIDGES
INVISALIGN, CLEAR CHOICE
| RETAIL PRODUCTS|
ELECTRIC TOOTHBRUSH, WHITENING
ANNUAL PLAN PREMIUMS
|ADULT 13 & UP = $395|
CHILD 12 & UNDER = $295
This plan is only good at One Fine Smile. It does not include dental procedures performed outside of One Fine Smile by specialists. Referrals to specialists will be at One Fine Smile’s discretion.
To be an independent member you must be 18 years of age or older. Adult premiums apply to patients 13 years and older and children premiums apply to patients 12 years of age and younger.
This plan may not be combined with any other offers, discounts, insurance coverage, or other marketing advertisements.
Once signed up for the plan, you will receive the benefits for 12 consecutive months. New contracts will be available 30 days prior to expiration. In order to continue as a member for this plan a new enrollment form will be required. You have the right to cancel this plan at any time in writing, however the membership fee is non-refundable.
This plan is non-transferable. It may not be transferred to any other family member.
Due to the substantial discounts offered with this plan, all membership fees and treatment payments are due at the time of service to receive the discount. Any services not paid for on the date of service will be billed out at the regular fees.
No refunds will be given if a spouse or dependent does not use the plan, moves, or obtains dental insurance. Nor will there be any refund if Orthodontic services are not completed for any reason or patient is non-compliant with trays.
Treatment completed prior to membership does not qualify for discount.
Prescriptions are not included in this plan.
Two no-shows or cancellations with no 48 hour notice will result in cancellation of your membership without refund.
The One Fine Plan cannot be used in conjunction with extended payment options such as Care Credit or other 3rd party payment plans.
One Fine Plan is only available at the office of One Fine Smile.
Special free consultations!
– Ask us about a smile makeover to enhance your smile
– Complete dental implant services from start to finish
– Oral appliances to treat sleep apnea