Orthodontic Consent Form
Parents and patients who are beginning Orthodontic Treatment, please watch Dr. Arcuri's Consent video and sign the Orthodontic Consent form.
You can download a Copy of the Orthodontic Consent Form Below:
Cost of Treatment
The cost of your child's pediatric dental treatment will vary depending on your child's individual needs. Our clinical team will review the recommended treatment and the costs associated with it. Payment for services rendered is expected at the time of service.
The cost of orthodontic treatment for either you or your child will vary depending on the individual needs of the patient and/or the treatment plan. Our business manager or business team will discuss with you the cost of the orthodontic treatment and will work with you to create a payment plan that fits your budget. If you have insurance that will be helping to cover the cost of your orthodontics our business team will be happy assist you with the paperwork and insurance claims.
We Participate With
We are in-network with the following insurance companies: Cigna, Fidelis, GEHA, & UMR. We also accept self-pay and patients of all insurance plans. Unfortunately we no longer participate with Delta Dental Insurance. Learn more here.
Request An Appointment
The first step toward achieving a beautiful, healthy smile is to schedule an appointment. To schedule an appointment, please complete and submit the request form below. Our scheduling coordinator will contact you soon to confirm your appointment.
Please note this form is for requesting an appointment. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly.