This plan was developed especially for patients who do not have dental insurance or whose employer no longer provides it. As regular dental visits are an integral part of your overall health, we have created this plan to support you and your efforts. We hope that you utilize this plan to improve and maintain the oral health for yourself and your family for years to come. Keep in mind that this plan is not dental insurance, but it has a number of great features that are very exciting.
- No annual maximum benefit
- No waiting periods
- No deductibles
- No claim forms or pre-authorizations
- No ID card necessary
- Two routine exams
- Needed x-rays, full mouth series or bite wings
- Two routine cleanings
- Two topical fluoride applications for patients under age 18
- One emergency exam
- 15% off all dental treatment not listed above
Payment of enrollment fees initiates coverage. When paid in full, you become eligible for all covered services at a discount.
- Single Members $255
- Spouse $255
- Dependents 13 and over
- $255 Dependents
- 13 and under $230
- Complete the Enrollment Application
- Pay the enrollment fee in full to activate membership
Please don’t hesitate to contact us if you have any questions about enrollment, covered services, eligibility, or our office. For additional information, please call our office at (972) 691-0885 or visit our website at www.stasnydental.com.
Please bring completed applications and enrollment fees to our office or mail to our address.
- This plan is only valid at Stasny Dental.
- This in-office discounted plan is not dental insurance.
- To be an independent member, you must be 18 or older and a residnt of the state of Texas.
- Your eligible dependents include your spouse and your children through the age of 25.
- This plan cannot be combined with any other dental insurance.
- This plan cannot be combined with any other offers.
- If the patient has and elects to use dental insurance then insurance plan fees, payments, and deductibles will apply.
- All patients are subject to Stasny Dental office policies.
- All payments are due at the time of services to receive the discount. Any services that are not paid in full at the time of service will be billed at our regular fees.
- Enrollment fees must be paid in full to receive discounts.
- All payments are non refundable.
- No refunds will be given if a member an/or spouse or children do not use the plan, relocate, or obtain dental insurance.
- 12-month term is effective from signup date to renewal date.
- Plans and fees are subject to change yearly.
- No discount will be offered for services requiring a referral to a specialist.
- Referral to a specialist is at discretion of the doctor.
- Should treatment be needed following an injury or 3rd party outside insurance is involved, the discount cannot be used.
- Prosthesesdeliveredorin-progresstreatmentcompletedmorethan60days after termination of coverage is not eligible for discount.
- StasnyDentalreservestherighttodiscontinuethisplanforanymemberatany time.
- Twono-showsorcancellationswithout24-hournoticecanleadtoyoubeing dropped from this plan without a refund.
- Fillings 15%
- Crowns 15%
- Bridges 15%
- Veneers 15%
- Root Canals 15%
- Dentures 15
- Removable Partials 15%
- Extractions 15%
Initial Complete Exam
Complete series of x-rays
Adult cleaning (first two)
Fluoride treatment (under 18)
Two surface tooth colored filling
Molar root canal
Scaling & root planning
Stasny Dental realizes that patients want transparency with fees. Please ask us if you want a fee for a procedure that is not listed above.