New Patient Dental Forms and Payment Options

New Patient Forms

We offer these forms for your convenience. To save time during your visit, simply print the following two forms and complete them. Be sure to bring them with you to your appointment. Documents are in PDF format. You can download Adobe Reader to view the forms.

Insurance and Billing

Nice Smile Family Dental is in-network with the following insurance companies: Metlife, Cigna and Delta Dental. We also accept Medicaid Insurance. If you have dental insurance we will gladly electronically submit your dental claims to your dental insurance company.

Insurance policies typically cover only a portion of total treatment cost. We ask that you pay your portion of the bill at the time of treatment. It is your responsibility to pay any balance not paid by your insurance company.

Payment Options

We accept credit cards for payments of dental servicesFor your convenience, our office accepts Visa, Mastercard, and Discover.