Insurance Information

Welcome to our office. So that we may assist you in filing your health insurance forms, please provide us with the information requested below. All information is kept confidential. You can download the forms, print them out, complete them and bring them with you on your next visit.

Patient Insurance Information Form

Insurance Reference

We are currently contracted with the following Dental Insurance companies:

• Aetna PPO, DMO
• Ameritas
• Assurant/Sun Life Financial
• Cigna PPO
• Connection Dental
• Delta Dental
• Dental Benefits Providers
• Dentegra
• DHA
• Geha
• Guardian – Select Plans (please contact your insurance company to confirm we are a contracted provider)
• Humana – (Not contracted with Medicare Plans)
• Metlife – (Not contracted with Tricare)
• Principal
• Renaissance
• Secure Care
• Southwest Preferred
• Total Dental Administrators PPO & Elite Choice
• United Concordia **SELECT PLANS** (please contact your insurance company to confirm we are a contracted provider)
• United Health Care PPO **SELECT PLANS** (please contact your insurance company to confirm we are a contracted provider)
• UMR
• UNUM
• Zelis/Stratose

We also honor and accept most Discount Plans:

• Ameriplan
• American Dental Plan
• Aetna Vital Savings Discount Plan
• Aon
• Careington
• Cigna Discount Plan
• Crown
• Dentemax Discount Plan
• EDS
• Four Star
• Humana Discount Plan
• Savon
• Unicare

*For any insurance company is not listed above, please call our office. We will do our best to accommodate them.