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BriteStars Portal 

WELCOME NEW PATIENTS

We gladly invite parents to accompany their children to the open bay or operatories during their first visit to our office.  It’s helpful for parents who are back in our operatories to assume a “silent observer” role as children have difficulty listening to more than one adult. For the safety and privacy of all patients, other children who are not being treated should remain in the reception room with a supervising adult. Our goal is to deliver quality dental care, gain your child’s confidence, and help overcome fear with our doctors and staff’s gentle and friendly approaches.  

NEW PATIENT FORMS (printable)
For New Patient, please Print out and complete all the new patient, Finance policies, and HIPPA forms before arriving to your first dental appointment.  Thank you.  
New Patient Information form
(English) Page 1
New Patient Medical/Dental Form
Practice Financial Policies
HIPPA
Form
Formulario de información para nuevos pacientes
Formulario de historial médico/dental del nuevo paciente
FINANCIAL POLICIES

 

For our patients with dental insurance, as a courtesy to you, we are happy to file your claim. The estimated portion from your insurance company is not a guarantee of payment. Your estimated amount is due in full at the time services are rendered.

Your insurance plan is an agreement between you and your insurance company. If your insurance company fails to make payment on your claim, the balance will become your responsibility. If payment is made on your claim and it is less than we originally estimated, then the remaining balance, in total, will become your responsibility.

We accept most dental PPO insurances listed below and Virginia Medicaid (Smiles for Children).  Most private insurance policies vary greatly; we can only ESTIMATE your coverage in good faith but cannot guarantee coverage due to the complexities of insurance contracts. Your estimated patient portion or co-payment must be paid at the time of service.  As a service to our patients, we will file your claim for benefits and allow 45 days for them to render payment. After 60 days, the remaining portion after insurance or non-payment will be billed out to you. If you have any questions, our courteous team is always available to assist you. Please feel free to call before your appointment with any questions.

We ask for payment in full at each dental visit. To accommodate you, we offer the following methods of payment:

  • Visa/Mastercard, Discover

  • Debit

  • American Express

CARE CREDIT

(with approval before the appointment).CareCredit is here to help you pay for treatments and procedures your insurance doesn’t cover. We offer No Interest* financing or low minimum monthly payment options to get what you want when you want it. It’s easy to apply for CareCredit. After you’re approved, you’re free to use CareCredit for your services, including LASIK, veterinary, dentistry, cosmetic, hearing aids, and more.

INSURANCE PLANS

We accept most Major Dental PPO Insurance plans & Smiles for Children of VA

  • Aetna

  • Anthem BCBS

  • Carefirst BCBS

  • Metlife

  • Delta

  • Cigna

  • United Healthcare

  • Dental Benefits Provider

  • GEHA

  • Dentamax

  • Connection Dental

  • United Concordia

  • Dentaquest

  • Smiles for Children of VA

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