Standard Preventive Care
Procedure Name
D1110
D0120
D0150
D0274
D0220
D9110
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Procedure Name
Prophylaxis - Adult
Periodic oral evaluation - established patient
Comprehensive oral evaluation - new or established patient
Bitewings - four radiographic images
Intraoral - periapical first radiographic image
Palliative (emergency) treatment of dental pain - minor procedure
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Included services - Adult (18+)
Quantity
2
2
1
1
2
1
​
Procedure Name
Prophylaxis - child
Periodic oral evaluation - established patient
Comprehensive oral evaluation - new or established patient
Bitewings - four radiographic images
Intraoral - periapical first radiographic image
Palliative (emergency) treatment of dental pain - minor procedure
Topical application of fluoride - excluding varnish
Included services - Child (0-18)
Procedure Name
D1120
D0120
D0150
D0274
D0220
D9110
D1208
Quantity
2
2
1
1
2
1
1
In-house Membership Plans
This Dental Membership Plan is not a traditional dental insurance plan. The program is only offered to individuals and families not currently insured by a dental health plan. This Membership plan is only valid at Gabucan Family Dentistry Pratice. The program benefits are not transferrable to another practice or dental specialty practice or individuals. Annual cost $348 and 10% off each additional meamber in the family. Members can also enjoy a 10% discount on our all Preventive, Major and Cosmetic services we offer in our 3 offices.
EVERYTHING IN THE PALM OF YOUR HAND
Manage your entire dental life directly in the Bento Dental app. View plan details, review receipts, manage family members and edit your payment method with ease. Need additional procedures not covered by your plan? With Standard Preventive you continue to save on all dental procedures at Gabucan Fmaily Dentistry. All monthly plan payments and/or payments for services that are not covered by this plan are processed through Bento. Bento cannot guarantee the pre-negotiated rates or accurate utilization for services for any transactions completed outside of the Bento platform.
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REFUND POLICY
If a user enrolled in any dentist sponsored in-office dental plan powered by Bento (“In-Office Plans”) cancels his or her membership within the first 30 days after the effective date of enrollment in such In-Office Plan and user has not received any services from the provider sponsoring the In-Office Plan, such user will receive a full refund of any enrollment fees after notification of cancellation is provided to Bento. Any cancellation of membership in an In-Office Plan more than 30 days after enrollment shall be subject to the terms and conditions of the policies of the dental provider sponsoring the In-Office Plan.
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DISCLAIMER
This is not an insurance policy. All dentist sponsored in-office plans powered by Bento are in accordance with Bento Terms of Use and Privacy Policy.
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QUESTIONS?
Contact Gabucan Fmaily Dentistry for details about your plan. For technical support visit bentopedia.bento.net or contact Bento directly by via phone 800-734-8484 or email at smile@bento.net.
2 easy ways to join
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Purchase the plan in our dental offices. Please fill up the contact info down below
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Scan QR Code or Download the Bento Dental app on your smart phones
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create a free account
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Select “Buy In-Office Plan”
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Type in Practice Code 5063362
Scan QR Code
