Forms & Financial
Every Patient, Every Appointment
New Patient Forms
Forms for Specific Treatments
Visiting a dentist is an investment in your child’s future healthy smile and overall health. Treatment costs vary based on the needs of your child and their treatment plan. We are committed to making healthy teeth affordable while also ensuring that your child gets the best care possible.
When you call to make an appointment, ask about our treatment costs and payment plan options. To make paying convenient, we accept most major credit cards. Payment is due at the time of service.
You may also be eligible for a CareCredit Card which you can use to pay for medical expenses not covered by insurance
Visit https://www.carecredit.com/ to learn more and apply.
We also accept Medicaid.
A word about insurance
In order to provide the best health care possible, we operate independently of insurance companies. Although we accept most PPO insurances, we participate as an in network provider with the following:
- United Healthcare
However, it does depend on your plan specifically. Our team understands insurance and would be happy to help you with any questions or concerns, please give us a call to see if we participate with your plan or insurance provider.
We highly encourage parents to investigate using Flexible Spending or Health Savings Accounts to reduce your realized costs. Watch this short video to learn more.
Dr. O's Smile Club
We recognize that many people do not have dental insurance and even those that do often don’t have the right coverage. Our Kids Smile Club helps make child’s healthy small affordable. For less than the monthly cost of many insurance plans, you can have the peace of mind that you are ensuring healthy smiles.
Please inquire about joining the Kids Smile Club when you come in for your child’s appointment.
Each smile club member gets full preventive care twice per year including:
- 2 professional cleanings
- x-rays 1/year
- 2 comprehensive dental exams
- you also get substantial discount off of other dental treatments — even orthodontia.
Other benefits include:
- No monthly premium like insurance
- No enrollment or claims forms to fill out.
- No deductibles
- No pre-approvals or denials of payment for prior treatment
- No waiting period
Membership valid for one year. Both visits must occur within a 12-month period.