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Patient Form


Insurance Information Form


We accept all insurance plans. We will be happy to answer all of your questions and call your insurance provider to verify benefits. As a courtesy to you, we are happy to bill your insurance company for you. We also accept Masshealth and Medicate plans. Also, for major expensive dental treatment, we have 2 loan programs: CareCredit and Chase Credit. Both Loans have 0% (zero) interest, if paid within the first year.

For Care Credit, you may apply yourself, online. CareCredit, the nation's leading patient payment program enables you to finance 100% of your dental care with NO money down, NO interest, no upfront costs, no annual fees, and no pre-payment penalties. So, you may begin your treatment immediately after approval. Care Credit can be used by the entire family for ongoing treatment without having to reapply.  Care Credit offers a comprehensive range of plan options, for treatment or procedure fees from $1 to over $25,000, and it only takes a few minutes to apply for CareCredit.  To learn more about CareCredit, call 1-800-839-9078, or visit their web site at www.CareCredit.com

Chase Credit For Chase Credit we may need to able to apply through the Doctor’s office only.    

Ask us for specials, if you are not using any insurance and paying 100% yourself for the procedures over $1000.

We Accept Visa, Master Card, American Express.

Personal Checks and Money Orders are accepted, as well.

We are here to make you smile!