(918) 446-6100

4824 S. Union Ave.

Tulsa, OK 74107

Phone:

(918) 446-6100

Email:

info@tulsadentalcenter.com
Schedule Today!

Now Accepting New Patients!

Patient Care Plan

The Tulsa Dental Center Patient Care Plan is designed to provide affordability and greater access to quality dental care.

With your Patient Care Plan there are:
• No yearly maximums
• No deductibles
• No claim forms
• No pre-authorization requirements
• No pre-existing condition limitations
• Immediate eligibility (no waiting periods)

You will not receive a membership card. Your plan’s effective date will be on file with our office.

AUTO RENEWAL POLICY - 5% OFF the 2nd Year’s Premium

Sign up for auto-renewal of your discount plan and receive 5% off next year’s premium! Ask our front desk team members how to sign up for this great offer!

Coverage

Treatment
DIAGNOSTIC & X-RAYS
Comprehensive Exam (New patient, initial visit) 
Periodic Exam (1 per year)
(Child under age of 18 - 2 per year) 
Limited Oral Exam (Problem focused - 1 per year) 
Complete Series or Panorex (1 every 5 years)
Periapical, First Film
Periapical, Each Additional Film
Bitewings (1 time per year)
Member Discount
D
100%
100%
100%
100%
50%
100%
100%
100%
PREVENTIVE
Child Prophylaxis (cleaning) (2 per year) 
Adult Prophylaxis (cleaning) (2 per year) 
Additional Cleanings per Year
Perio Maintenance Therapy (two per year) 
Additional PMT
Fluoride (2 per year, no age limit)
Sealants
D
100%
100%
20%
100%
20%
100%
20%
ALL OTHER PROCEDURES
Fillings and Core Buildups
Crowns
Veneers
Periodontics
Dentures and Partials
Oral Surgery
Root Canals
Implants
Conebeam
Orthodontics (Invisalign only)*** 
D
20%
15%
15%
20%
15%
20%
20%
10%
50%
$500 Off
*** For Orthodontics member must remain a plan member for the duration of treatment to retain discount plan benefits. Senior Citizen discount, additional 5%

PROGRAM EXCLUSIONS AND LIMITATIONS

This is a discount plan, not an insurance plan.

It cannot be used:
• In conjunction with other discounts
• 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 Tulsa Dental Center.
This dental discount plan is not an insurance plan that can be used with any other dental office.

PROGRAM GUIDELINES

• There will be a $50 reinstatement fee if your plan lapses
• Cannot be used in conjunction with another dental plan
• NON-REFUNDABLE
• 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 DAY OF SERVICE.

Contact Information


4824 S. Union Ave. 
Tulsa, OK 74107
Main Office: (918) 446-6100
Fax: +1 (918) 445-2948
Monday thru Thursday
8am - 5pm
Friday 8am - 2pm
Closed Weekends
info@tulsadentalcenter.com
appointments@tulsadentalcenter.com

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