In-House Dental Discount Savings Plus Plan


Now you can join our “Dental Discount Savings Plus” Plan for a nominal membership fee. Our Discount Plan entitles you to preventative, corrective and periodontal dental care at 25% off and your annual check-up exam is FREE. It also includes an additional FREE Emergency exam with diagnostic X-ray for yourself or as a gift to someone else. To enroll, simply fill out an application at our office and make your payment with a check, money-order or credit card.

Please make a check or money-order payable to Sierra Gate Family Dental.

Preventative Dental Care

25% Off Preventative Dental Care*

Regular Fees
Your Discount Fees


X-Rays – FMX

Adult Cleaning / Prophy

Children’s Cleaning

Other Services

Regular Fees
Your Discount Fees

Posterior Resin Filling 1 Surface

Anterior Resin Filling 1 Surface

Posterior Resin Filling 2 Surface

Anterior Resin Filling 2 Surface

Posterior Resin Filling 3 Surface

Anterior Resin Filling 3 Surface

Posterior Resin Filling 4 Surface

Anterior Resin Filling 4 Surface

Porcelain Crown (per unit)

Porcelain Fused to Metal Crown (per unit)

Soft Tissue Management (per quadrant)

Periodontal Maintenance

Complete Upper or Lower Denture (per unit)

Partial Upper or Lower Denture (per unit)

Terms & Conditions

Patients agree that Sierra Gate Family Dental In-House Dental Discount Savings Plus Plan fees must be paid at the time services are provided. Any fees left unpaid upon receiving a service will be billed at REGULAR fees. Discount fees are valid ONLY when paid at the time of enrollment. Discount plans are not transferrable to another person. Discount plans are NOT insurance and may NOT be combined with any other insurance.

Products and lab fees are not included in the plan.

  • Plan cannot be combined with any other offers or discounts.
  • Plan is non-transferrable.
  • Plan cannot be combined with any insurance.
  • Plan cannot be used outside of Sierra Gate Family Dental.
  • Plan does NOT include unusual lab fees and they cannot be discounted.
  • Plan excludes products.
  • Plan fees stated must be paid at the time services are rendered.
  • Policies, regulations and fees are subject to change without prior notice.
  • Fees will be honored for 1 year from the plan enrollment date.
  • Fees revised 01/01/2020.

For more information about our in-house dental discount savings plus plan at Sierra Gate Family Dental in Roseville, California, please call 916-784-0900 and schedule an appointment with our dentist, Dr. Ardalan Keshtkar.