We know your time is valuable, so to make completing the required paperwork as easy as possible for you, you may download, read, and complete the forms before your appointment. If you prefer, you may also fill them out when you come in.
We realize you have a choice for your personal, pediatric, or family dentist, and we truly appreciate the opportunity to serve you. We strive to distinguish ourselves by providing the prompt, comfortable, and quality service you need, and we guarantee you will leave our office happy.
Don't have insurance? MIDENT is the answer
We've developed an innovative, straight-forward program that offers checkups and discounted services for the people in Richmond who might not be covered by traditional insurance. The plan is simple.
Each member will receive the following discounted dental services for one year:
Single member Plan:
2 dental exams
2 routine cleanings
All needed x-rays
Fluoride treatments for children
15% discount off our current fee schedule for EVERY procedure we provide, including cosmetic dentistry and whitening
No maximum limits
More Money in Your Pocket
If just one member of the family should require a root canal, post and crown (a common dental treatment) you could save over $400 or more, and if you are one who anticipates the need for extensive dental treatment, your savings could be very significant. There are no yearly maximums.
No claim forms
No yearly maximums
Cosmetic dentistry included
No pre-authorizations required
No pre-existing conditions restricted
Anyone not covered by dental insurance may enroll in MIDENT. You may also enroll your eligible dependents, which includes your lawful spouse and children. No pre-existing conditions will prevent membership.
Membership is in effect for one year only, beginning the day the membership fee is received. Procedures specifically in progress at the time the membership expires will be completed at the allowance rate. Further allowances on services will not be allowed until the renewed membership fee is received.
This is a basic service plan. Should members require treatment or services better treated by and referred to specialists, the allowance will not be in effect. Preventive visits which include initial and recall oral exams, routine diagnostic x-rays, routine cleaning and fluoride treatments are limited to two per year under the plan
Payment of discounted procedures must be made at time of service.
Any participant (including a dependent) who fails to keep an appointment shall be subject to a charge unless cancelled at least 24 hours prior to the scheduled appointment and such charge shall be no more than $20.00
This plan is expressly non-transferable
Sierra Dental/MIDENT reserve the right to refuse membership to individuals at its discretion
Any dental services arising out of sickness or injury arising out of or sustained in the course of any occupation or employment for remuneration or profit, which qualifies for workman’s compensation benefits.
Any dental services which, in the judgement of the dentist, are not reasonable and necessary for the prevention, correction, or improvement of a condition.
Any dental services for which the participant is reimbursed, entitled to reimbursement, or is in any way indemnified for such expense by or through any program, state or federal, or any program of medical or dental benefits sponsored and paid for by the federal government or any agency thereof.
Services which are not performed or offered by Dr. Eliason.