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My ADA

Billing & Payments

Review your current plan, saved payment method, auto-renew settings, add-ons, and payment history. This sandbox uses fictional data and does not process payments.

Membership Plan

Current ADA tripartite membership and recurring billing summary.

Current plan

ADA Tripartite Dentist Membership

National, state, and local membership bundle for Dr. Jane Smith.

Auto-renew

On

Monthly membership billing is enabled.

Next charge

May 1, 2026 - $40.84

Base monthly dues before optional recurring contributions.

Add-ons

2 active items

Recurring contribution plus a fulfilled one-time value package.

Payment Method

Saved card and billing address used for automatic membership charges.

Card on file

Visa ending 2424

Expires 09/28. Fictional sandbox card only.

Billing address

123 Main St, Chicago, IL 60601

Fictional address for walkthrough review.

Update Card

Use only fake sandbox card values. The fields below are RSForm builder components and no external processor is connected.

Edit Billing Address

Update the dummy address field below for this walkthrough only.

Payment History

Filter invoices by type, category, period, or status. Invoice details open inline for this simulation.

Payment method update
Payment method update

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Sandbox-only selection for the simulated saved payment method update.

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Fake sandbox card number only. Do not enter real payment data.

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Payment history
Date Description Type Amount Status Invoice
Apr 1, 2026 Membership dues Monthly $40.84 Paid
Mar 1, 2026 Membership dues Monthly $60.84 Paid
Feb 1, 2026 Membership dues Monthly $40.84 Paid
Jan 1, 2026 Membership dues Monthly $40.84 Paid
Jan 1, 2026 CE Course Bundle: Ethics, Practice Management, HIPAA One-Time $249.00 Paid
Dec 1, 2025 Membership dues Monthly $40.84 Paid

No matching payment history rows are visible for the current filters.

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Fake sandbox expiration date.

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Fake sandbox security code.

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Fictional demo billing address for the Tripleniners walkthrough.

Hidden by Form 8 simulation script; prevents real submission when reached.

Invoice Detail

Display-only invoice examples based on the Fishtank billing wireframes.

Recurring invoice

Invoice #ADA-2026-0089

March 1, 2026 - Dr. Jane Smith - 123 Main St, Chicago IL 60601

$60.84

Recurring invoice line items
Local dues$8.34
State dues$16.67
National dues$12.50
State PAC Fund$2.08
Foundation Assessment$1.25
Smile Foundation$20.00
Total$60.84

Charged to Visa ending 2424. Monthly auto-renew - next charge Apr 1, 2026.

One-time invoice

Invoice #ADA-2026-0090

January 1, 2026 - Dr. Jane Smith - 123 Main St, Chicago IL 60601

$249.00

One-time invoice line items
CE Course Bundle$199.00
Ethics & Professionalismincluded
Practice Management 101included
HIPAA Compliance Updateincluded
Smile Foundation donation$50.00
Total$249.00

Charged to Visa ending 2424. One-time purchase - non-refundable - does not renew.

Billing update saved for this simulation

No real billing or payment processing occurred.

Need help?

Contact ADA Member Service for billing questions, invoice copies, fulfilled product questions, or account-specific payment help.

Call 800-621-8099, email membership@ada.org, or use chat in the real portal. This sandbox does not contact ADA systems.