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.

Nice Smile Family Dental is open again

Welcome back to our practice during a very difficult time for the world and for dentistry. Our primary concern is the health of our patients and staff. Nice Smile Family Dental is taking all the necessary steps to ensure our office environment is meeting all of the requirements set forth by the CDC and other governmental agencies, including the ADA. Under the guidance of our governing bodies, Nice Smile Family Dental is again open to seeing patients. We have put policies in place to attempt to guard against the transmission of COVID-19. Thank you for your patience as we observe a new normal. Please contact our office for your next dental visit.

Call us: 252-493-4926.

Thank you for your patience. Dr. Allessandra M. Bennett Lowery