New Patient Information

Payment Options

We are committed to providing quality and affordable dental health care. You have multiple options for payment available. For your convenience we accept Master Card, Visa, Discover, American Express and Debit Cards. Cash and Personal checks are welcome.

We understand that unexpected dental bills can sometimes strain finances. If this happens, call us immediately at (703) 910-4805 to discuss further. If you help us keep the lines of communication open, we can usually work out acceptable arrangements. We are pleased to accept CareCredit. Please click on the logo for more information.

Insurances

We accept most PPO, HMO/DMO, Medicare, Medicaid and smiles for children plans.

We are participants in several of the dental insurance plans, listed below are few of the major ones:

Please give us a call at (703) 910-4805 to make an appointment or with any questions regarding insurance coverage.

As a courtesy to our patients, our office will gladly assist you with the filing of your dental insurance claims and help maximize your benefits. Patients and account guarantors who use dental insurance through our office are required to provide the necessary information needed by our office staff to successfully submit your claims. Patients and account guarantors are responsible for understanding their individual dental insurance policy and benefits.

Helpful Hint

Have your insurance information ready for us before your initial visit so that we can process your claims efficiently and expeditiously.

What Our Office Requires

You will be asked to complete and sign a patient health and registration form, and insurance form at the office. Alternatively you can download the forms using the links below and bring them along with you during your visit to save time.

Patient Forms

Please download and fill out the forms for your first appointment.

	Patient Information Form
	HIPAA Privacy Policies
	Financial Policies and Consent Form

These documents are in Adobe PDF format. If you're unable to read PDF files, please download free Adobe Acrobat Reader here.

Cancellation

If you are unable to keep an appointment, we ask that you kindly provide us with at least 24 hours notice. We ask for this advance notice so that we can offer this appointment to another patient. A fee may be charged if a patient does not show up for an appointment without sufficient notice.

We would like to take this opportunity to thank you for choosing our practice for your dental care.