Dental Insurance and Financial Policies

Please complete your paperwork online or download, print and mail completed form before or bring on your first visit.


Please download, print and complete this form. Mail before or bring on your first visit.

Dunstan Dental Center
Policy on Dental Insurance & Payments

Please reach out to us with any questions you may have

All estimated portions and non-covered charges are expected to be paid when services are rendered.


We accept Visa, MasterCard, Discover, cash, check, or CareCredit.

New patients will be required to pay all charges in full at time of service unless we are able to verify the dental coverage prior to their first appointment. All appointments will be charged a $50 broken appointment fee for the time reserved if 24 business hours notice is not given.

We will gladly complete and submit all claims for most primary insurances as a courtesy to our patients. We do, however, encourage all our patients to be aware of what is covered or excluded from their dental plan.

We are a participating provider with Northeast Delta Dental and many others.

We estimate the primary insurance payment and the remainder is due at the time of service regardless of any secondary insurance benefits that may be available.

If there is a secondary policy, we take that information and provide our patients with completed claim forms to send in once the primary insurance has paid. This will expedite any reimbursement due to the patient.

Please call your insurance company or go to their online site for answers to questions that are plan-specific.

Ask your insurance carrier the following...
  • What is your maximum benefit per year?

  • What is your deductible?

  • When does your benefit year begin?

  • Is there a waiting period for restorative work?

  • What is the amount of remaining benefits?

  • (For secondary insurance) Are benefits coordinated with the primary?