Payments

When paying at the time of service

Pay in full at time of service by check, cash, or credit card – if bill exceeds $500, receive 3-5% fee reduction

Submit dental insurance information and receive reimbursement according to your plan.

Payments after Service

Make a Payment

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Credit Card Information
Card Holder Name*
First Last
Credit Card Number*
We accept American Express, Discover, MasterCard, Visa
Month*
Expiration Month
Year*
Expiration Year
CVD Code*
Payment Amount*
Payment Notes

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