First Visit, Forms and Insurance

Your first visit lasts approximately one hour and consists of a complete series of X-rays, a cleaning where applicable and a comprehensive evaluation by Dr. Del Presto.  

Once your exam has been completed, the doctor will diagnose any treatment needed and we will provide you with a detailed treatment plan and financial breakdown for all that is necessary.  At this time, we will schedule your next appointment.

When you attend your first visit, please arrive approximately 15 minutes early and be prepared to complete all patient registration forms and insurance forms that will allow us to begin your dental treatment. Please also bring your insurance card with you so benefits may be applied as necessary.

Please download and fill out all forms (6) listed below:

NEW PATIENT INFORMATION FORM

NEW CHILD PATIENT INFORMATION FORM

OUR OFFICE POLICIES

HIPAA NOTICE OF PRIVACY PRACTICES

HIPPA PRIVACY PRACTICES ACKNOWLEDGEMENT FORM

AUTHORIZATION FOR USE OR DISCLOSURE OF PROTECTED HEALTH INFORMATION FORM

Insurance

Your treatment plan will include a detailed breakdown of visits and finances expected from you if applicable. All costs will be presented to you before any treatment is completed, and all financial responsibility is payable at the time of treatment.

We have payment options available that allow financing you financial obligations through a third party with little or no interest available. Our staff will advise you on the patient financing applications.

Our office accepts all major credit cards for payment: Visa/MC/Discover/Amex and Citicard. Additionally, we will submit all insurance claims for you. We will fully attempt to help you maximize your insurance benefits to the best of our ability; however, all estimates of payments due are not guarantees, you are personally responsible for your account, and we encourage you to know your benefits and contact the insurance company if prompt payment has not been received.

Below is a list of insurance we accept

  • AETNA PPO/ AETNA INDEMNITY AETNA POS
  • AMERITAS PPO
  • ASSURANT EMPLOYEE BENEFITS
  • BOLLINGER
  • BC/BS FEDERAL (STANDARD / BASIC )
  • HORIZON PPO/ HORIZON DENTAL OPTION
  • HORIZON MEDICARE ADVANTAGE/ HORIZON PPO ACCESS
  • HORIZON COMPANION/ HORIZON CENTURION
  • CAREINGTON 500 SERIES (REDUCED FEE)
  • CAREINGTON PPO
  • CIGNA PPO
  • DENTAL CALL (REDUCED FEE)
  • DENTAL HEALTH ALLIANCE
  • DELTA PREMIER/ DELTA USA
  • CONNECTION DENTAL /GEHA
  • DENTEMAX
  • LIBERTY (REDUCED FEE)
  • GUARDIAN DENTAL GD PPO
  • HUMANA PPO
  • NORTHEAST (DENTAL SAVE)
  • PRINCIPAL
  • PROTECTIVE (REDUCED FEE)
  • QUALIDENT
  • MET LIFE
  • SIGNATURE (REDUCED FEE)
  • UNITED CONCORDIA
  • UNITED HEALTHCARE
  • INSURANCE DESIGN ADMIN
  • WELL POINT
  • UNICARE 100/200/300

* WE ALSO TAKE SELF FUNDED INSURANCE PLANS AND INDEMNITY PLANS THAT ALLOW YOU TO GO IN OR OUT OF NETWORK. 

** IF YOU HAVE AN INSURANCE PLAN THAT IS NOT LISTED.. CALL OUR OFFICE TO SEE IF WE CAN ACCEPT YOUR COVERAGE. 

*** IF YOU DO NOT HAVE ANY DENTAL INSURANCE. CLICK ON THE LINK FOR CITICARDS. OUR PATIENT FINANCING OPTION.