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Forms Here at Orban Family Dental, our dentist and team believe in the advantages of maintaining your oral health. We do not want insurance to be a barrier for our patients. Therefore, we offer an affordable and hassle-free dental coverage plan in Coeur d’Alene, Idaho. For more information, read below or give us a call at 208-667-1546 to discuss further with our office manager! Dr. Filip Orban and the rest of our team are looking forward to seeing you soon.
Benefits of the Orban Family Dental Dental Coverage Plan:
- No Yearly Maximums
- No Deductibles
- No Claim Forms
- No Pre-Authorization
- No Pre-Existing Condition
- No Contract
- No Membership Card Required
- Immediate Eligibility (No Waiting Period)
Low Cost Dental Coverage:
- Individual Premium ~ $25 Per Month
- Individual & Spouse Premium ~ $45 Per Month
- Additional Child Up to Age 14 ~ $10 Per Month
| Diagnostics and X-Rays | |||||
|---|---|---|---|---|---|
| Comprehensive Exam (New patient, initial 1 per year) | 100% | ||||
| Periodic Exam (2 per year) | 100% | ||||
| Periodic Exam (under age 18, 2 per year) | 100% | ||||
| Limited Oral Exam (as needed) | 100% | ||||
| Each Additional Exam | 50% | ||||
| Pano/CBCT (as needed) | 100% | ||||
| Periapical, First Film | 100% | ||||
| Each Additional Film | 100% | ||||
| Bitewings (as needed) | 100% | ||||
| Preventive | |||||
|---|---|---|---|---|---|
| Child Prophylaxis (cleaning, 2 per year) | 100% | ||||
| Adult Prophylaxis (cleaning, 2 per year) | 100% | ||||
| Additional Cleaning per Year | 20% | ||||
| SRPs | 20% | ||||
| Perio Maintenance (in lieu of prophy, 2 per year) | $39 each | ||||
| Fluoride (2 per year, no age limit) | 100% | ||||
| Sealants | 20% | ||||
| Treatment — All Other Procedures | |||||
|---|---|---|---|---|---|
| Bleaching | $99 | ||||
| Fillings and Core Build-Up | 20% | ||||
| Crowns | 20% | ||||
| Veneers | 20% | ||||
| Periodontics | 20% | ||||
| Dentures and Partials | 20% | ||||
| Oral Surgery | 20% | ||||
| Root Canals | 20% | ||||
| Implants | 20% | ||||