Douglas County Dental Clinic - Lawrence, KS

Our fees are greatly reduced and offered on a sliding scale according to income.

Proof of Income Requirement

Though the Douglas County Dental Clinic provides dental services at a reduced rate, the services are not free.  In order to serve all of our patients better, proof of income is a requirement to be treated here.  Proof of income can be shown using: 

  • Check stubs from work
  • Copy of last year’s tax form
  • Copy of your vision card
  • Copy of benefits received (Social Security, unemployment benefits, etc.)

If you are unsure that your proof of income will qualify you for services, please give us a call at 785-312-7770 to discuss your situation.

If you are relying on a third party to pay for these services, they must meet the federal poverty guidelines and they must provide proof of income from the list above. 

All fees are due at the time of treatment.  Patients with unpaid bills will not be seen for additional treatments until past due bills are paid.

In order to be seen here, you must meet our income guidelines.  Starting in 2010, we are able to see patients that are at 250% of 2008 federal poverty guidelines as determined by the State of Kansas' SCHIP guidelines.  Our income guidelines are as follows:

# of people in household Fee Level 1 Fee Level 2 Fee Level 3 Fee Level 4
1 $10,830/year or $903/month $16,244/year or $1,353/month $21,659/year or $1,804/month $26,000/year or $2,167/month
2 $14,570/year or $1,214/month $21,854/year or $1,820/month $29,139/year or $2,427/month $35,000/year or $2,917/month
3 $18,310/year or $1,526/month $27,464/year or $2,288/month $36,619/year or $3,051/month $44,000/year or $3,667/month
4 $22,050/year or $1,838/month $33,074/year or $2,755/month $44,099/year or $3,674/month $53,000/year or $4,417/month
5 $25,790/year or $2,149/month $38,684/year or $3,223/month $51,579/year or $4,297/month $62,000/year or $5,167/month
6 $29,530/year or $2,461/month $44,294/year or $3,690/month $59,059/year or $4,921/month $71,000/year or $5,917/month
7 $33,270/year or $2,773/month $49,904/year or $4,158/month $66,539/year or $5,544/month $80,000/year or $6,667/month
8 $37,010/year or $3,084/month $55,514/year or $4,625/month $74,019/year or $6,167/month $89,000/year or $7,417/month

For family units with more than 8 members, add $3,740, $5,610, $7,480, or $9,000 for each additional member.


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