We got it.

Thank you for contacting us.
We’ll get back to you as soon as possible.

Springfield Pre-Paid Dental Coverage

Giving You Comprehensive Coverage at an Affordable Price

Cost Options:

  • For a single: $17.60 per month
  • For a single plus one: $25.25 per month
  • For a family: $30.15 per month

To become a plan member, simply fill out the attached application. Make sure you check which payment method you prefer: either the convenient Monthly Bank Draft or the Annual Payment , and then mail to Dental Source at the address listed on the Enrollment Form.

If you choose the Monthly Bank Draft method, please enclose a check for the first month’s membership and the enrollment fee. If the Annual Payment is selected, please enclose a check for the annual rate plus enrollment fee.

For More Information, Contact:

American Dental Program Agency

Representing Dental Source

1722 South Glenstone, Suite W-201

Springfield, MO 65804

417.882.3787

*(877) 227-0171

Fax: (417) 886-5852

  How Can We Help You?

We are here to guide in finding the best plan.

This is required
Enter your phone number Enter a valid number like +1555-123-4567
Enter an email Use an address with (@) and (.)
This is required

That didn’t work.

The form wasn’t sent. Please try again.

Get Covered

Fill out our enrollment form and mail it back to us to get the coverage you need.

Features & Benefits

We guarantee you’ll be happy with Dental Source and the programs we offer.

Request Information

Contact us today if you would like to request information on our plans.