FAQ
&
PATIENT INFORMATION

 

PATIENT FORMS

 

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BELOW YOU WILL FIND A LIST OF DOWNLOADABLE FORMS TO HELP MAKE YOUR VISIT A BREEZE FROM START TO SMILE!

Extraction Consent Form

General Consent Form

Implant Consent Form

New Patient Form

Root Canal Consent Form

Sinus Augmentation Consent Form

X-Ray Release Authorization

 

DENTAL INSURANCE

 

SMILE WITH EASE
We've Got You Covered!

We are committed to high quality dental care that our patients deserve and enjoy in our practice. If your dental insurance will not cover all of your dental treatments, we will work with you to identify a payment solution. We are health care professionals first and will work with you to make sure you receive the treatment you need.

We accept a variety of insurance providers and endeavor to accommodate our patient’s request. Many times we can do a thorough benefit verification with the name and telephone number of the insurance company, the subscribers date of birth and an ID or SS number. We are happy to do this in advance of your appointment to prepare for any diagnosis and treatment recommended. Please call our office at (510) 659-0130 and let us see how your insurance can help you with your dental care. 

Not working with any dental Insurance? Not a problem, we've partnered with Premier Dental Plan to provide financing.  With a Premier Dental Plan, you have no waiting periods, no deductibles and many other membership benefits which allow our patients to stay in the dental home they choose. 

 

Our own low-cost individual dental plan as low as $25/mo.

Includes:

  • Comprehensive Exam
  • X-rays
  • Cleaning
  • Whitening Trays

Other Benefits:

  • No Waiting Period
  • No Deductible
  • No Yearly Maximums
  • Free Consultations

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Other accepted payment methods include: 

Cash / Check
Debit Cards
Visa
Mastercard
American Express
CareCredit (financing)

Healthcare financing with CareCredit

Whether you use your healthcare credit card to cover your deductible, or to pay for treatments and procedures not covered by insurance*, CareCredit helps make the health, wellness and beauty treatments and procedures you want possible today.


*Subject to credit approval.