Eligibility
VINA currently has openings for new patients! Dental appointments cost $25 and cleaning appointments cost $10 thanks to the generous support of our community.
Applications will be accepted by appointment only. Please contact VINA Dental at (810) 844-0240, Monday & Friday 9:00 am-12:00 pm or Tuesday-Thursday 9:00 am-4:00 pm. Applications can be picked up at the VINA Community Dental Center during at 400 E. Grand River Ave., Brighton, MI 48116 (in small black mailbox out front) or printed from our website below.
Eligibility: Patients must meet ALL FOUR requirements:
- Individuals must live in Livingston County for at least 6 months
- Individuals must be at least 18 years of age
- Must have NO dental insurance (call for details on exceptions)
- Families must have an income at or below 250% of the federal poverty level. This also includes public assistance, social security, and unemployment. Income levels are reflected in the chart below.
| Family Size | FPL (100%) | VINA Eligibility (250%) |
|---|---|---|
| 1 | $15,650 | $39,125 |
| 2 | $21,150 | $52,875 |
| 3 | $26,650 | $66,625 |
| 4 | $32,150 | $80,375 |
| 5 | $37,650 | $94,125 |
| 6 | $43,150 | $107,875 |
| 7 | $48.650 | $121,625 |
| 8 | $54,150 | $135,375 |
If you do not qualify for VINA, please click here to find more options for affordable dental care near you.
Services Provided:
- Exams
- Oral cancer screenings
- Cleanings
- Fillings
- X-rays
- Fluoride Treatments
- Oral Surgery/Extractions
- Dental Education Materials
- Crowns
- Nightguards
Services NOT Provided:
- Braces
- Whitening
- Cosmetic Dentistry
- Sedation – IV or oral
- Nitrous Oxide (Laughing Gas)
- Implants
Application Procedures:
- Applications are accepted on a daily basis
- Patients must complete the Eligibility Forms. You can print them to fill them out by hand, pick up at the clinic or fill them out electronically at the bottom of this page.
- Patients will be required to pay a scheduling fee for each visit
- All appointments must be PREPAID
- Patients must bring proof of residence in Livingston County (ie: utility bill, car registration, etc.)
- Patients must bring proof of family income (ie: last year’s tax return, unemployment statement, or social security statement)
- Patients must bring a legal photo ID (State ID, Driver’s License, Passport, Etc.)
Important Information:
- Update eligibility once per year.
- Patients must arrive on time for every appointment.
- If patient misses an appointment or cancels within 48 hours, the prepaid appointment fee of $25 will be forfeited and patient will need to make another payment to reschedule.
- In the event of inclement weather, if Brighton Area Schools are closed, VINA will also be closed.
Children:
- Children may not be left alone in waiting room and must be supervised at all times.
- VINA does not provide dental care for children. See the link above for other local dental care options.
Submission:
Please complete the Patient Eligibility Paperwork below. Applications are accepted by appointment only. Please call the office to setup screening appointment.
Click here to download the printable eligibility form
If filling out online: Once you have finished it, send the downloaded copy (with your information) to office@vinadental.org.
If printing and completing: Please mail or drop off your completed application to VINA at 400 E. Grand River Ave., Brighton MI 48116. PLEASE USE BLACK INK ONLY if you are printing and emailing your application back to the office!