Below are forms to print out and complete before your first visit.



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Payment Options

Cash, Check, Credit Card:  Visa, Master Card, Discover and American Express, CareCredit


5% cash discount for non-insured patients, when charges are paid in full by cash or check.

5% non-insured senior discount for patients 65 years and older.

Insurance Network Participation

Delta Dental / MODA- Premier | Cigna Dental PPO | Aetna Dental

We work with many insurance companies. Please be advised that plans may vary even amongst the same insurance provider. We are happy to assist you with your insurance and financial questions.



DenteMax Network




Met Life

Regence Blue Cross Blue Shield

United Concordia

United Healthcare

Patient Forms

Please take a moment to print out and complete all of the new patient forms listed below. We ask that you please complete all necessary forms prior to arriving at our office in Beaverton to help ensure your appointment starts and concludes on time. Delaying the start of your appointment to complete patient forms may require scheduling a second appointment to finish your initial cleaning and exam.