Membership fees are paid monthly, quarterly or annually as follows:
Monthly CostSingle MemberMember + Family
Group $8.50 $12.50
Regular $12.00 $16.00
Senior 62+ $8.50 $12.50
Quarterly CostSingle MemberMember + Family
Group $25.50 $37.50
Regular $36.00 $48.00
Senior 62+ $25.50 $37.50
Annual CostSingle MemberMember + Family
Group $100.00 $150.00
Regular $144.00 $192.00
Senior 62+ $100.00 $150.00

Member Enrollment
Entrollment Status   Regular (Individual or family)
Group (Must be an approved NYDN group)
Senior (Age 62+)
Are you enrolling as Single or Family/Household?   Single Family/Household  
Would you like to pay Monthly, Quarterly or Annually?   Monthly Quarterly Annually  
Were you referred by someone?   Yes No
 
  I have read and I accept the eligibility requirements and am ready to join New York Dental Network, LLC.
I Agree I Disagree