Patient Information Form
Medical and Dental History Forms
Record Transfer Form
Financial Policy
HIPAA Release Form
Insurance Companies that we are contracted with:
Delta Dental
BCBS
Cigna (Radius Group)
Dentemax Group (over 150 plans) Lincoln Financial, ACS Benefits, Coventry Dental, Companion Life, Humana Dental, Prudential, Sun Life Financial and more.
In addition, we will file any and all insurance plans that we are not contracted with; as long as it is a PPO Plan. If you have any questions about your coverage please contact your plan specifically, as we are only advocates in helping you maximize your benefits and insure proper payment.
Also, because your smile is important to us, we offer CareCredit payment plan options. CareCredit is a health credit card specifically designed to pay for treatment and procedures that are either not covered by insurance or are only covered at a percentage. Please visit www.carecredit.com and fill out your application today.
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