Payment Options :
You can pay for your office visits and any treatments by cash, check, credit, Care Credit, or Capital One Credit Plan at the time of treatment. We accept all indemnity dental insurance plans, as well as the following providers:

Cigna, Aetna, Metlife, Assurant/Fortis/DHA, Delta Premier and Preferred, Guardian/Jefferson Pilot/FirstHealth, United Concordia, United HealthCare/AIG/Dental Benefit Providers/ WASAU/Secure Horizons, Mutual of Omaha, Connection Dental Plus/Texas Dental Choice/GEHA/Greatwest, Principal/ Ameritas, Wellpoint/Unicare, Safeguard, Blue Cross Blue Shield of TX, OK, AR, & IL, and Careington Platinum.

To discuss your payment options or insurance coverage, please call us at
817-237-1600.

Click here to learn more about Care Credit or to apply online.

Patient Forms
The links below are forms that you will need to fill out at your first visit. For your convenience, you can download, print and fill them out in advance and bring them with you rather than filling them out at our office.

Patient Information
PDF (requires Adobe Acrobat Reader free download)
Word Document (requires Microsoft Word)

Patient Medical History
PDF (requires Adobe Acrobat Reader free download)
Word Document (requires Microsoft Word)

HIPPA Agreement
PDF (requires Adobe Acrobat Reader free download)
Word Document (requires Microsoft Word)

Online Consent
PDF (requires Adobe Acrobat Reader free download)
Word Document (requires Microsoft Word)