Forms & Insurance

Paperwork made painless.

Complete forms ahead of time to save time at check-in. We’ll help with insurance—no mysteries, no surprises.

new patients

pacientes nuevos

Notice of Privacy Practices

We accept most dental plans. Coverage varies by employer and plan.
Payment is due at time of service. We’ll provide an estimate and options before treatment.
We file your claim as a courtesy. Insurer pays you or us depending on plan rules; any remaining balance is the family’s responsibility.
Pre-treatment estimates: For larger treatment, we can submit a pre-estimate to your plan.
Questions about benefits? Your HR/plan administrator is the best source—we’ll share codes/notes to help.

TIP: Bring your insurance card and photo ID to every visit. Tell us if your plan changed since your last appointment.

Call with your plan name and subscriber ID—we’ll check typical coverage and provide an estimate.

Most plans have deductibles, frequency limits, and co-pays. We’ll explain what your plan typically covers.

Yes. For larger treatment, we can send a pre-estimate to your insurer so you know your out-of-pocket before scheduling.

We’re happy to review care options and costs up front so you can plan comfortably.

(If applicable) Add a sentence here. If not, remove this question.

Cancellations: Please give 24-hours’ notice so we can offer the time to another family.
Late arrivals: We’ll do our best to accommodate; we may reschedule to keep other kiddos on time.
After-hours emergencies: Patients of record can call the main line and follow instructions.