Indio: (760) 578-4748
El CENTRO: (760)482-5505
Application
Application
Striving to make our communities a better and healthier place, one smile at a time!
Eligibility Requirements
Eligibility Requirements
We welcome anyone in need to apply for our dental program! Our organization has a non-discrimination policy that ensures it does not discriminate based on race, color, religion, sexual orientation, gender identity, national origin, citizenship status, socio-economic status, age or disability.
Qualifications:
- Low income
- No dental insurance
- Veteran
You must be able to show proof of any of the above qualifications. Please submit the following items (of all household members) to determine eligibility:
- Filled out SAGE application
- Valid photo identification
- Last three months of bank statements
- Last three months of pay stubs
- Previous year's tax forms
Eligibility for our SAGE program is income-based, following the Federal Poverty Guidelines of 2019. Your household income must be at or below the 138% Poverty Level (see values below).
Household Size 138% FPL Annual Income
_____________________________
1 $16,395
2 $22,108
3 $27,821
4 $33,534
5 $39,248
6 $44,961
7 $50,688
8 $56,429
9 $62,169
10 $67,910
11 $73,651
12 $79,392
Each Additional Person Add 5,741