Your Membership Includes:
‣ 2 Dental Cleanings with Dr. exam and
consultation (adult/child Prophylaxis)
‣ X-rays (Panorex, Full Mouth Series,
Bitewings or Periapical)
‣ Oral Evaluation with hygiene
instructions
‣ Fluoride as needed (no age limit)
‣ Oral Cancer Screening
‣ Up to 2 emergency exams
with x-rays
Total Value................................. $881.00
All other procedures receive a 15%
discount from our standard fee.
Membership fees are to be paid in full
with cash, check or credit card at the
time of enrollment.
Ask about our third party financing.
Here’s How It Works!
‣ This program is a discount plan,
not a dental insurance plan.
‣ This plan cannot be used in conjunction
with another dental insurance plan.
‣ You must complete a written application
to become eligible for this plan.
‣ Upon acceptance of the application,
your membership fees will be due.
Payment may be made with cash,
check or credit card.
‣ The plan participant is responsible
for utilizing the plan’s services –
Non-used services are non-refundable.
‣ After evaluation, if additional dental
treatment is needed, written financial
arrangements are required before
scheduling appointment.
‣ This plan only applies to services
rendered at Lost Mountain Dental
and does not include any treatment
or services provided elsewhere
by any other provider.
It’s That Simple!
How to Sign Up for the
Lost Mountain Dental
In-Office Savings Plan
It’s so easy to start saving today.
Please call one of our team members
for an application 770-425-4001.
You may also visit our website at
www.lostmountaindental.com
There’s no membership card to carry,
nothing to keep track of!
DISCOUNT PLAN OPTIONS
Individual Plan................... $326 annual cost
Dual* Plan.......................... $633 annual cost
Family (3)** Plan................. $953 annual cost
Family (4)** Plan................. $1275 annual cost
+ $274 each additional family member
*Parent/Child or Spouses only.
**Includes family members and children up to age 23.
Compare the cost of our membership
plan with premiums you may be paying
for traditional dental insurance. You may
be pleasantly surprised with the savings
you would enjoy at our office.
Get the Beautiful Smile You Deserve
WITH YOUR PLAN THERE ARE:
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NO yearly maximums
NO deductibles
NO claim forms
NO pre-authorization requirements
NO pre-existing condition limitations
NO waiting periods
Meet Dr. Mulkey
The founder of the practice, Dr. Michael Mulkey,
is a native of Marietta, GA, and attended
Marietta High School. He went on to receive
his undergraduate degree from The University
of Georgia, after which he received his doctorate
from The Medical College of Georgia in 1988.
In-Office Savings Plan
Dr. Mulkey has been
married for over 25
years and they have
two children.
When Dr. Mulkey isn’t
busy helping his patients
achieve beautiful, healthy
white smiles he enjoys
the outdoors, music
and traveling. He is
also an active member
of McEachern United
Methodist Church.
Affordable Dental Care
Regardless of your age, employment,
or dental needs, you and your
family are eligible to join the
Lost Mountain Dental
In-Office Savings Plan TODAY!
Save on all of our dental services,
including fillings, crowns, dentures,
root canals, implants – almost
anything your family’s
dental care requires.
The fees outlined in the Discount Plan Option or
other established fees by Lost Mountain Dental are
non-refundable. All Plan fees are due at the time of
enrollment. An additional fee may be charged for any
missed, cancelled or broken appointment without 24
hours prior notice. This plan is non-transferrable by
patient. This Plan does not include any work in process
or re-treatment. This Plan cannot be combined with
any other insurance, dental plan, coupon or discount.
Failure to comply with the terms of the Plan may result
in termination of the Plan and forfeiture of any fee paid
by patient or other third-party. Lost Mountain Dental
reserves the right to refuse treatment and/or terminate
the patient’s participation in this Plan without notice or
refund if the patient’s account becomes delinquent or
patient is non-compliant. This Plan may be modified,
amended or cancelled at anytime without prior notice
and may be subject to other terms and conditions.
from your Trusted and
Caring Family Dentist
Monday: 8am – 5pm
Tuesday – Thursday: 7am – 5pm
Friday: 7am – 1pm
770-425-4001
w w w.lostmountaindental.com
3951 Mary Eliza Trace, Suite 200,
Marietta, GA 30064