







We accept most dental insurance plans. For your convenience, our office staff will file the forms for you. Please be familiar with your dental plan. All co-payments should be received on the day of treatment.
Full payment is expected upon completion of treatment. Financing is available with credit approval through CareCredit. Visa, Mastercard, Discover, and American Express are accepted. Remaining balance after insurance coverage is responsibility of the patient.
Downloadable Forms in Adobe Acrobat (PDF) Format:
Patient Information Form Notice of Privacy Practices
(2006 HIPPA FORM)
Call 440.358.0495 Located at 9659 Old Johnnycake Ridge Road Mentor, Ohio 44060
Dentists serving families in Mentor, Concord, Painesville, Perry, Chardon,
Kirtland, Fairport, Willoughby, Eastlake, and all of Lake County.
CareCredit
Patient Payment Plans
With CareCredit, you can schedule treatment – right away.
Choose one of the quick and easy ways to apply for CareCredit.
¨ Ask the office staff for an application.
¨ Go to www.carecredit.com
¨ Call 800.365.8295
CareCredit Offers You:
3 and 6 Month No Interest Payment Plans
Extended Payment Plans for 24, 36, and 48 Months with low
annual percentage rate.