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16TEETH
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👑 16TEETH ROYAL PLAN
👑 16TEETH ROYAL PLAN FULL UNLIMITED DENTAL COVERAGE AED 999 / YEAR Designed for patients seeking complete cosmetic, restorative and advanced dental care under one premium annual plan. WHAT’S INCLUDED ✓ Unlimited dental visits, check-ups & consultations ✓ Unlimited professional cleanings ✓ Unlimited Non-Shaving Veneers ✓ Unlimited braces ✓ ONE dental implant PER YEAR ✓ Unlimited fillings & restorations ✓ Treatment through participating 16Teeth licensed clinics in Dubai ROYAL PLAN BENEFITS ✓ Comprehensive dental care under one plan ✓ Cosmetic, restorative & advanced treatments ✓ Direct access to participating licensed dental clinics ✓ No third-party insurance claims process ✓ VIP support & priority booking ✓ Designed for patients who want our highest level of dental care AED 999 / YEAR [ Terms and conditions apply. “Unlimited” benefits are subject to clinical necessity, eligibility, treatment protocols, provider availability, reasonable-use provisions and the full Royal Plan terms. Cosmetic and elective treatments remain subject to clinical suitability.
Data Privacy and Confidentiality Consent
Data Privacy and Confidentiality Consent I understand that my personal, medical, and dental information is collected solely for the purpose of diagnosis, treatment, and record management within the clinic. I acknowledge that my data will be stored securely and accessed only by authorized clinical staff for professional use. My information will not be shared with any third party without my written consent, except when required by law, insurance purposes, or professional regulations. I consent to the collection, use, and secure storage of my personal and medical data in accordance with applicable privacy laws and ethical standards. By signing below, I confirm that I have read and understood this policy and agree to the proper handling of my personal information as stated above.
TERMS AND CONDITIONS - 16Teeth Royal Dental Insurance
16Teeth Royal Dental Insurance Black Diamond Dental Clinic L.L.C – Trade License No. 773574 Location: Office No. 2707, Al Sufouh 2, Dubai Media City, UAE Website: www.16Teeth.com Phone: +971 50 940 2323 | Email: management@16Teeth.com ⸻ 1. Definition • “Company” or “Clinic” refers to Black Diamond Dental Clinic L.L.C, operating under the brand 16Teeth. • “Client” or “Member” refers to the patient subscribing to the 16Teeth Royal Dental Insurance Plan. • “Dentist” refers to the licensed practitioner providing diagnosis and treatment on behalf of the Clinic. ⸻ 2. Nature of the Plan • The 16Teeth Royal Dental Insurance Plan is a membership-based coverage that allows clients to access a range of dental and cosmetic treatments for a fixed annual fee. • It is not a third-party or government insurance program; all treatments are provided directly by the Clinic. ⸻ 3. Diagnostic and Treatment Authority • All diagnoses, treatments, and medical decisions are made solely by the Clinic’s licensed dentists, based on clinical findings. • The patient acknowledges that treatment requests (e.g., veneers, implants, braces) may be approved, modified, or declined at the dentist’s discretion for medical, ethical, or safety reasons. • The Clinic holds the exclusive right to determine what treatment is suitable and medically indicated. • The patient waives any right to demand a specific procedure against professional opinion. ⸻ 4. Coverage and Limitations The plan includes but is not limited to: ✅ Veneers (non-shaving) ✅ Braces and Aligners (ceramic/invisible) ✅ Dental Implants (single units only) ✅ Fillings and Restorations ✅ Whitening, Cleaning, and Polishing ✅ Consultations, X-rays, and Emergency Visits Limitations: • All services must be performed within 16Teeth licensed clinics. • The plan is valid for 12 months from activation and is non-transferable. • The plan does not cover: • Procedures performed outside the clinic • Damages from accidents, negligence, or non-compliance • Work altered by another dentist or clinic • Refunds or replacements for dissatisfaction unrelated to medical fault ⸻ 5. Fees and Refunds • The annual fee (4,990 AED or other selected plan value) is payable in full before activation. • Payments are non-refundable once the plan is activated, regardless of usage. • No partial refunds or extensions will be granted for missed appointments or delayed treatments. ⸻ 6. Appointments and Conduct • All appointments must be pre-booked through the official contact channels. • A minimum of 24 hours’ notice is required for cancellations or rescheduling. • Repeated cancellations or no-shows may result in suspension of plan privileges. • Disrespectful behavior, misconduct, or verbal abuse toward staff may lead to immediate plan termination without refund. ⸻ 7. Medical Disclaimer • Dental and cosmetic results vary depending on individual health, habits, and oral condition. • The Clinic does not guarantee identical results to marketing images or other patients. • The Clinic shall not be liable for complications caused by pre-existing conditions, smoking, or patient neglect. ⸻ 8. Confidentiality • All patient data and medical records are confidential and protected under UAE data privacy laws. • The Clinic may use anonymized before/after photos for educational or promotional purposes only with the patient’s written consent. ⸻ 9. Indemnity • The Client agrees to indemnify and hold harmless Black Diamond Dental Clinic L.L.C and its staff from any claims, costs, or damages arising from misuse of the plan, false declarations, or non-compliance with clinical advice. ⸻ 10. Governing Law and Jurisdiction • This agreement shall be governed by and construed in accordance with the laws of the United Arab Emirates. • Any dispute shall fall under the exclusive jurisdiction of the Dubai Courts. ⸻ 11. Acceptance By signing or activating the plan, the Client confirms: • That they have read, understood, and accepted these Terms and Conditions in full. • That they agree to follow the dentist’s medical opinion and respect the clinic’s professional authority. • That they release the Clinic from liability related to self-demanded or medically unjustified procedures.
Black Diamond Dental Clinic L.L.C — Official Treatment Price List
💎 BLACK DIAMOND DENTAL CLINIC L.L.C Luxury Cosmetic & Dental Care by 16Teeth 📍 Office 2707, Al Sufouh 2, Dubai Media City 🌐 www.16Teeth.com | 📞 +971 50 940 2323 | ✉️ management@16Teeth.com ⸻ 🦷 COSMETIC DENTISTRY • Non-shaving veneers (per tooth): 1,250 – 1,950 AED • Porcelain veneers (per tooth): 2,200 – 2,800 AED • Smile makeover (16 teeth): 19,900 – 29,000 AED • Hollywood smile (full mouth): 35,000 – 45,000 AED • Tooth whitening (in-clinic): 1,500 – 2,200 AED • Whitening package (2 sessions): 3,000 – 3,500 AED ⸻ 🪄 ORTHODONTICS • Ceramic braces (full case): 10,000 – 14,000 AED • Metal braces (full case): 8,500 – 10,500 AED • Invisible aligners (per arch): 9,500 – 13,000 AED • Retainers (per arch): 1,200 – 1,800 AED ⸻ 🦷 DENTAL IMPLANTS • Single implant (implant + crown): 4,900 – 7,500 AED • All-on-4 implant system (per arch): 29,000 – 39,000 AED • All-on-6 implant system (per arch): 35,000 – 49,000 AED • Bone graft / sinus lift (if required): 3,500 – 6,000 AED ⸻ 🪥 GENERAL & RESTORATIVE CARE • Consultation + check-up (with X-ray): 350 AED • Digital smile design (3D preview): 850 – 1,200 AED • Tooth filling (composite): 450 – 850 AED • Root canal treatment (per tooth): 1,500 – 2,500 AED • Cleaning + polishing: 500 – 850 AED • Scaling + stain removal + fluoride: 750 – 1,200 AED ⸻ 🪷 AESTHETIC & ADDITIONAL SERVICES • Gum contouring / reshaping: 1,500 – 2,200 AED • Tooth jewelry (crystal / gold): 700 – 1,500 AED • Night guard / retainer: 1,000 – 1,800 AED • Emergency dental visit: 550 – 850 AED • Cosmetic consultation / mock-up: 500 – 700 AED ⸻ 💎 16TEETH PREMIUM PLANS • 🥇 Silver Plan – Essential Care: 1,990 AED / year • 🥈 Gold Plan – Advanced Cosmetic & Medical: 3,490 AED / year • 👑 Royal Plan – Full Unlimited Coverage: 4,990 AED / year ⸻ Notes • All services performed by licensed dentists in Dubai Media City. • Prices depend on case complexity & chosen materials. • Full cost estimate provided after clinical evaluation. • Payments are non-refundable once treatment begins.
CLIENT'S Signature
Sign & Agree to All Terms
Sign & Agree to All Terms
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