Adult D1110, D0120, D0274, D0140, D0220; Perio D4910, D0120, D0274, D0140, D0220; Child D1120, D0120, D0272, D1208, D0140, D0220
We value your loyalty. For our patients without insurance, we’ve launched our membership club to simplify payments for preventative care. Our loyal members also save money on treatment.
Membership clubs are not insurance but a payment arrangement provided by Amy M. Kiesselbach, DDS for services rendered. Memberships are provided exclusively to uninsured patients of our practice and shall not be considered pre-payment for future services or payment for access to discounted services. Rather, our patient members are electing to make regular monthly subscription payments for preventive care instead of paying at the time of each service. 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 months’ 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. No refunds will be provided for dues paid under any circumstances, including failure to schedule and maintain appointments. A patient member’s monthly agreement is with the legal entity of Amy M. Kiesselbach, DDS. Monthly dues and fees for dental services may change at any time. Payment management services are provided by illumitrac℠.