• No claim forms
• No deductibles
• No waiting periods
• No yearly maximums
• Free orthodontic consultations
• No pre-authorization requirements
• No pre-existing condition limitation
Annual Plan Premiums
Single coverage $649
Dual coverage * $999
Family coverage ** $1299
* Dual coverage is for Husband/Wife, Partner/Partner or Parent/Child.
** Family coverage includes children who are currently enrolled full-time in college until age 26 or children not currently enrolled full-time in college until age 18. This covers 2 dependent children. Additional dependents can be added for an annual premium of $150.
Treatment Coverage Table
Treatments Plan & Services Coverage
Comprehensive Exam 100%
Periodic Exam (2 per yr) 100%
Limited Oral Exam, Problem Focused (1per yr) 100%
Intraoral - Complete or Panorex (1 per 3 yr) 100%
Intraoral - Periapical, First Film (1per yr) 100%
Intraoral - Periapical, Additional Films (1per yr) 100%
Bitewings (1 set per yr ) 100%
Child Cleaning (2 per yr) 100%
Adult Cleaning (2 per yr) 100%
Fluoride (1 per yr) 100%
Periodontal (Deep) Cleaning 25%
Oral Surgery 25%
Root Canals 20%
Orthodontics $400 Off
(full brackets and molar bands, upper and lower arches)
Orthodontic Appliances 25%
Optimum Dental Care Lifetime Care Plan is not a dental insurance plan.
This Plan Cannot Be Used:
*Only valid for in office treatment. Does not act as additional coverage for patients who are already covered by insurance.
New Smiles Welcome!
995 Montague Expressway, Suite 220 Milpitas, CA 95035
Phone: 408-942-9999 | Fax: 408-934-9487