Memberships are not insurance but a payment arrangement provided by Chestnut Dental, Inc for services rendered. Membership is not transferable to other dental offices. Payment for any cosmetic or restorative treatment is due at the time of service. Membership dues must be current in order to receive services. A lapse of 28 days in dues will require a reactivation fee of six month’s dues. Membership club discounts may not be combined with any other offers or discounts. It is solely the patient’s responsibility to schedule and keep their appointments. A patient member’s monthly agreement is with the legal entity Chestnut Dental Inc. Monthly dues and fees for dental services may change at any time. Payment management services are provided by Express ACH.
*Needed x-rays are determined by the doctor at the time of the exam.
Child Membership D0272, D1120, D1208, D0120
Perio Membership D4910, D0120, D0274
Adult Membership D1110, D0120, D0274