New & Existing Patients

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First Visit

Your initial appointment will consist of a consultation explaining your diagnosis and treatment options. Occasionally, treatment can be performed the same day as the consultation. However, a complex medical history or treatment plan may require an evaluation and a second appointment to provide treatment on a separate day.

Please assist us by providing the following information at the time of your consultation:

  • X-rays (if applicable)
  • A list of your current medications
  • If you have medical or dental insurance bring the necessary completed forms. This will save time and allow us to help you process any claims.

Please alert the office if you have a medical condition that may be of concern prior to surgery (i.e,. diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are on any medication (i.e., heart medications, aspirin, anticoagulant therapy, etc.).

IMPORTANT: A parent or guardian must accompany all patients under the age of 18 at the consultation visit.

X-Rays: If you have x-rays from a previous dentist or physician, you may request that they forward them to our office. If there is not enough time, please pick them up and bring them to our office. If additional films are necessary, they can be taken at our facility.

Financial Policy

For your convenience, we accept Visa, MasterCard, American Express, Care Credit and Chase Health Advance. We deliver the finest care at the most reasonable cost to our patients. Therefore payment is due at the time service is rendered unless other arrangements have been made in advance. If you have questions regarding your account, please contact us at (213) 623-1129. Many times, a simple telephone call will clear any misunderstandings.

Please remember you are fully responsible for all fees charged by this office regardless of your insurance coverage.

We will send you a monthly statement. Most insurance companies will respond within four to six weeks. Please call our office if your statement does not reflect your insurance payment within that time frame. Any remaining balance after your insurance has paid is your responsibility. Your prompt remittance is appreciated. We can make arrangements for a monthly payment plan, but this must be accomplished prior to the actual procedure.

Online Registration Forms

Please click the links below to use our online registration forms:

Patient Information

Health History

Consent

HIPAA

Interest Free Payment Plans

We are pleased to offer interest-free payment plans for qualified individuals.

This allows many of our patients to begin their recommended treatment immediately, while giving them the opportunity to make affordable monthly payments that fit their lifestyle. Please ask our office manager for details.

Care Credit: Click here for more info.
Chase Health Advance: Visit http://www.chasehealthadvance.com/providers for more info. Please enter 46951 for Provider ID.

Insurances

Your dental plan is a form of compensation provided by your employer. You can expect the carrier (insurance company) to reimburse you for a portion of our fee. That portion is determined by the contract between your employer and the insurance company. The higher the premium paid by your company, the more generous the reimbursement.

Although we are not a party to the contractual arrangement with your insurance company, we do want to help you receive the maximum reimbursement to which you are entitled. As a convenience to you, we will help you process your insurance claims in order for you to receive the maximum benefit. We will also gladly provide dental x-rays and a written diagnostic report should your insurance company have any questions about the services provided.

At all times, you can be confident that we will always provide you with our best services without regard to the limitations imposed by your insurance coverage. To do otherwise would violate our contract with you — a contract we feel morally obliged to honor.