Forms & Payment Options
New Patient Forms
We accept Visa, Master Card, Discovery, American Express and Care Credit.
Please click the CareCredit image to fill out an online application.
Preferred providers (PPO) for the following insurance companies:
- Delta Dental
- United Concordia
- BCBS of Nebraska
- United Health Care
- Cigna PPO
- Aetna PPO
Most insurance coverages are accepted and processed.
Contact your insurance provider to verify your eligibility at our office.
Now available. Give the gift of a beautiful smile!!