New Patient Forms
Thank you for choosing our practice as your dental care provider; we can assure you that you’ve made an excellent decision!
Before your first visit, we request that you complete the following forms and bring them with you to the appointment. By completing this information ahead of your scheduled visit, we can dedicate more time to you and your needs, as well as introduce you to our incredible team members! If you have any questions while filling out this information, don’t hesitate to call our office! We are always happy to help.
Payment Options
We accept a wide range of dental insurance plans, including:
- Aetna & Aetna Access
- Altus Dental, Inc.
- Ameritas
- Life and Health Insurance Co.
- Blue Cross Blue Shield
- Benecare Local 825
- Carrington
- Cigna Dental
- Dental Network of America
- Fidelio
- First Dental Health
- GEHA
- Guardian
- Healthplex
- Humana Dental
- Horizon Young Grins: (patients 19 and under)
- Maverest
- MetLife
- Paramount Dental Health
- Principal Financial Group
- Renaissance Dental
- Solstice Benefits
- Sun Life Financial
- UnitedHealth Care
- United Concordia
- UMR (United Medical Resources)
If you’re unsure whether we accept your insurance plan, don’t worry. Our team is here to help. We offer a complimentary benefits check and are happy to assist you in maximizing your plan’s benefits to minimize out-of-pocket costs.
CareCredit
Understanding the cost of dental care can be challenging. That’s why we offer CareCredit, a flexible financing option that allows you to pay for dental treatments in manageable monthly payments, up to $25,000. For qualified applicants, we also offer a special 12-month interest-free financing option.
To learn more about CareCredit, click HERE.
Financing
At Charmoy Dental Associates, we know that many patients avoid seeking necessary dental care because of the cost, especially if they don’t have insurance. Unfortunately, putting off treatment can lead to more serious issues and higher costs down the road.
To make dental care more accessible, we offer Care to Smile, an in-house dental savings plan for both adult and pediatric self-pay patients. For a low annual fee, Care to Smile participants receive preventive dental services and enjoy significant discounts on treatments like crowns and fillings.
Find Out More
If you’re hesitant to see a dentist because you don’t have insurance, don’t wait any longer. Reach out to Charmoy Dental Associates today to learn more about the Care to Smile plan. Our team will be happy to explain the plan’s benefits, provide an estimate for various dental services, and schedule an appointment at our Randolph, NJ.
