Fees & Discounts

Dental

Sliding Fee Discounts

Sliding fee discounts make care affordable for patients without insurance, as well as patients who are underinsured (e.g., those with high-deductible plans). Discounts of up to 100% off the cost of a patient's visit are offered. The discount also applies to most on-site lab costs. Use the calculator below to find your discount. This tool is for estimation only and is not an assurance of eligibility.

*Income is household gross income. This includes all sources of income of those living in your household ages 18+ (before taxes are deducted).

Apply for a Discount

To apply for a discount, please bring one of the following documents with you to your visit. If you do not have the documents available at the time of your visit, you may supply them up to two weeks after your visit.

  • Employment check stubs last 30 days

  • W2 and/or 1099 Tax form through April only (Unless self employed)

  • Unemployment check or print-out

  • Child Support/Alimony computer print-out

  • TANF copy of documents from FSSA

  • SSI or Disability check stub or bank statement

  • Social Security check stub or bank statement

  • Pension or Retirement statement of benefits from previous employer, bank or investment firm

  • Trust/Endowment bank statement

  • Scholarship/Grant letter of award

  • Union Sub Pay check stub

  • Personal help, in case of no income letter from person providing support

If you do not have an income, you do not need to bring documents—in this case, we will verify employment status with the local WorkOne employment office. (This process requires a social security number (SSN). If a SSN is unavailable, a patient can have a family member or community member who is financially supporting them write a letter indicating the amount of their support. This can serve as verification.)

Nominal fee

For all discount levels, a nominal fee is due at time of service. Discounts do not apply to the nominal fee. Your nominal fee is applied to the total amount of visit fees you owe after any discounts. In some cases, the nominal fee will cover all charges owed (e.g., for someone whose visit is discounted at the 100% level). If your visit fee after discounts is more than your nominal fee, the nominal fee counts as a credit toward the remaining costs; you are then responsible for remaining cost after the nominal fee is applied.

  • Example A:
    A patient falls into discount category A, and they pay a $50 nominal fee at time of service. Their discount is 100%. Based on the services they received, their visit fee without a discount would have been $149. Because their discount is 100%, their visit fee is $0. They paid their $50 nominal fee and owe nothing more.

  • Example B:
    A patient falls into discount category B, and they pay a $55 nominal fee at time of service. Their discount is 60%. Based on the services they received, their visit fee without a discount would have been $200. Because their discount is 60%, their visit fee is $80. They have already paid the $55 nominal fee at time of service, which is applied to the amount of the visit fee. They owe the remaining $25. This can be paid at time of service or billed to the patient. Patients with financial barriers may set up payment plans for amounts owed.