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, click the “ticket” icon below 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 Financial and Insurance Coordinators 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

We are happy to be accepting new patients.
 


Insurance Information

We are in-network with many insurance companies and will submit your claims to most others. It is important to remember that the policy holder is responsible for knowing and understanding their insurance information but our Billing Specialists are available to assist. You can also contact your insurance company directly or your plan administrator for more information.

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.

 


Financial and Insurance Billing Specialists

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

 


DDS Referral Form