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BENEFITPREMIUM PLANTOTALANNUAL COSTCOVERAGE TREATMENTOURINOFFICESAVINGS PLAN DISCOUNTDIAGNOSTICS/RAYS Comprehensive Exam* (New Patient, initial visit)100%Periodic Exam(2x/plan year)*100%Single $219Dual*

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How to fill out in-office-savings-plan-brochure-dom-family-dentistry-updatedpdf

01

Obtain the in-office-savings-plan-brochure from DOM Family Dentistry.

02

Read through the brochure carefully to understand the details of the savings plan.

03

Fill out the necessary information requested in the brochure, such as your personal details and payment information.

04

Make sure to follow any instructions or guidelines provided in the brochure while filling it out.

05

Once you have completed filling out the brochure, review it for accuracy and make any necessary corrections.

06

Submit the filled out brochure to DOM Family Dentistry as per their instructions.

Who needs in-office-savings-plan-brochure-dom-family-dentistry-updatedpdf?

01

Individuals who are interested in availing the in-office savings plan offered by DOM Family Dentistry.

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What is in-office-savings-plan-brochure-dom-family-dentistry-updatedpdf?

The in-office-savings-plan-brochure-dom-family-dentistry-updatedpdf is a brochure detailing the savings plan offered by DOM Family Dentistry.

Who is required to file in-office-savings-plan-brochure-dom-family-dentistry-updatedpdf?

All employees of DOM Family Dentistry are required to file the in-office-savings-plan-brochure.

How to fill out in-office-savings-plan-brochure-dom-family-dentistry-updatedpdf?

To fill out the in-office-savings-plan-brochure, employees need to provide their personal information and indicate their election for the savings plan options.

What is the purpose of in-office-savings-plan-brochure-dom-family-dentistry-updatedpdf?

The purpose of the in-office-savings-plan-brochure is to inform employees about the savings plan options available at DOM Family Dentistry.

What information must be reported on in-office-savings-plan-brochure-dom-family-dentistry-updatedpdf?

The in-office-savings-plan-brochure must include employee personal information, selected savings plan options, and signature.

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