Charles Cox D.D.S., Inc.
Dr. Cox and Associates
522 13th St, Suite B, Paso Robles, CA 93446
The Paso Robles Dental Care Platinum Savings Plan is designed to provide affordability and greater access to quality dental care. Your benefits are available only at Paso Robles Dental Care.
Single Plan $325
Additional family members are $300 each
· No Deductibles
· No Claim Forms
· No Pre-Authorization Requirements
· No Pre-Existing Condition Limitations
· Immediate Eligibility (No Waiting Periods)
Program Exclusions and Limitations
This program is a discount plan, not a dental insurance plan and is secondary to any other dental plan. It cannot be used:
· In conjunction with any other dental plan
· For treatment which, in the 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 are covered under automobile claims
This plan is only honored at Paso Robles Dental Care. This plan is not a dental insurance and can not be used at any other dental office.
· Benefit coverage table is subject to revision annually
· No refunds will be issued at any time if participant decides not to utilize dental plan
· All payments are due in full at time of service to receive the discount.
· If you choose to use CareCredit, the treatment discount is reduced by 10% due to merchant fees.
· Your effective date is the date you sign up, and your renewal date is the same date each year.
In-Office Plan Coverage Table
Diagnostic and X-Rays
Comprehensive Exam (new patient, initial visit) 100%
Periodic Exam (up to 2 per year) 100%
Limited Oral Exam, Problem Focused (2 per year, any additional 25% discount) 100%
Intra-oral-Complete Series (1 every 3 years) 100%
Intra-oral- Periapical X-Ray 100%
Bitewings (1 per year) 100%
Child Prophylaxis (cleaning) (2 per year, any additional 25% discount) 100%
Adult Prophylaxis (cleaning) (2 per year, any additional 25% discount) 100%
Topical Fluoride (2 per year, any additional 25% discount) 100%
All Other Procedures
Dentures and Partials 10%
Crown over Implant 15%
Oral Surgery 20%
Root Canals 20%
Periodontics-Scaling and Root Planing 20%
Periodontal Maintenance- copay at each visit $85 each visit