Call us: (608) 222-6160

Patient Information

Financial Information

We accept cash, personal checks, Visa, MasterCard, Discover and American Express. We also accept HSA cards as well as Flexible Spending cards. Care Credit is an additional financing option, with interest free payments for up to 12 months, with credit approval.

Bills may be paid online at our secure site, or you can call our office to make a credit or debit card payment. Statements are mailed on a monthly basis.

Payment is due at the time of service. We are always happy to work with you to find financial arrangements that are favorable to everyone. Please call our Billing Staff if you have questions.

* You will be redirected to a secured online site


Patient Forms

Please click a link below to view/download the form pdf file.

 


New Patient Information

We are happy to be accepting new patients. Please see the Insurance Information (below) to see what types of insurance we accept.

 


Insurance Information

While we are in-network with many insurance companies, we will submit to most. We are happy to assist you with your insurance benefits. It is important to remember that you are responsible for your insurance information, we are here to assist you. You can contact your insurance company directly, or your plan administrator for information also.

We are in-network with:

  • Delta Dental (PPO)
  • Delta Dental (Premiere- Orthodontics)
  • Humana
  • Momentum
  • ADP
  • Ameritas

Additional Insurance that we submit to (and are out-of-network to) are:

  • Aetna
  • Alliance
  • Always Care
  • Assurant
  • Auxiant
  • Cigna
  • Companion Life
  • Corporate Benefit Services
  • FMH
  • GEHA
  • Guardian Life
  • Metlife
  • Principal
  • Physicians Plus Dental
  • TeamCare
  • UMR
  • United Concordia
  • United Heathcare Dental
  • And more…

If you have questions regarding your dental insurance, please give our office a call, 608-222-6160.

 


Billing Staff

We can be reached during office hours by calling 608-222-6160 or by email:

 


DDS Referral Form