Annual Adult Membership

[For Patients With Regular Cleanings & The Absence of Periodontal Disease]

INCLUDES:

• Professional Dental Cleaning (Twice A Year)
•  Full Dental Exam (Twice A Year)
• Four Bitewing X-Rays; Six Periapical (PA) X-Rays (Per Year, If Needed)
• One Dental Emergency Visit Per Year (If Needed)
• Two Oral Cancer Screenings Per Year
• Two Oral Hygiene Instructions Per Year
• One Yearly Full Mouth Periodontal Probe
• Receive 15% Off On All Other Treatments (Some Exclusions May Apply)

MEMBERSHIP ADD-ON:

(Can Be Combined Only With Adult or Child Membership Plan)

Dental Sealants Benefit Plan Includes:

• Placement of Dental Sealants on ALL Pre-Molars and Molar Teeth (Cavity-Free)
• Repair or Replacement of Dental Sealants Placed Under Current Active Membership Plan

Annual Child Membership

[For Patients Age 13  & Under]

INCLUDES:

• Professional Dental Cleaning (Twice A Year)
•  Full Dental Exam (Twice A Year)
• Four Bitewing X-Rays; Two Periapical (PA) X-Rays (Per Year, If Needed)
• One Dental Emergency Visit Per Year (If Needed)
•  Two Fluoride Treatments Per Year
• Two Oral Cancer Screenings Per Year
• Two Oral Hygiene Instructions Per Year
•  Receive 15% Off On All Other Treatments (Some Exclusions May Apply)

MEMBERSHIP ADD-ON:

(Can Be Combined Only With Adult or Child Membership Plan)

Dental Sealants Benefit Plan Includes:

• Placement of Dental Sealants on ALL Pre-Molars and Molar Teeth (Cavity-Free)
• Repair or Replacement of Dental Sealants Placed Under Current Active Membership Plan

Annual Periodontal Membership

[For Patients Enrolled In Active Periodontal Maintenance, Due To Prior Treatment Of Periodontal (Gum) Disease]

INCLUDES:

• Professional Periodontal Maintenance Dental Cleaning (Three-Four A Year)
•  Full Dental Exam (Twice A Year)
• Four Bitewing X-Rays; Six Periapical (PA) X-Rays (Per Year, If Needed)
• One Dental Emergency Visit Per Year (If Needed)
• Two Oral Cancer Screenings Per Year
• Two Oral Hygiene Instructions Per Year
• One Yearly Full Mouth Periodontal Probe
• Receive 15% Off On All Other Treatments (Some Exclusions May Apply)

MEMBERSHIP ADD-ON:

(Only For Periodontal Membership Plan)

Dental Fluoride Treatment Benefit Plan Includes:

• Two Fluoride Varnish Treatments Per Year Under Current Active Membership Plan

CALL US AT 336-525-9581

To Inquire More About Our In-Office Membership Plan & Sign-Up

J. Selig Cooper, DDS, PA in-house dental care plan is not a dental insurance plan.  Membership is non-transferable and can only be used at J. Selig Cooper, DDS, PA.  Cannot be combined with dental insurance or any other offers.  Renewal payment is due 12 months from the initial effective date.

Unused benefits are not refundable.