New Patients

Patient Forms

To continue making your dental experience pleasant, we have conveniently provided our dental forms below, so that you can fill them out in the comfort of your home and bring them into the office with you.

Patient Information

Patient Information

Payment Policy

In an effort to bring affordable high-quality dentistry to every patient, we accept many forms of payment, offer dental financing and will work with work with your dental insurance provider on your behalf to maximize your benefits.

Click here for more information regarding dental insurance at our office.

Payment Options:

Our office accepts the following payment options:

  • Cash
  • Check
  • Debit
  • American Express
  • Discover
  • MasterCard
  • Visa

As a courtesy to you, we will bill your insurance company and track claims. Please keep us informed of any changes to your insurance plan. You are responsible for the fees charged by our office, no matter what your insurance coverage may be. Most insurance companies should respond to the claim within four to six weeks. Any remaining cost is your responsibility.

Dental Financing

For our patients who would prefer to spread out the costs of their dental service(s) over a series of payments, our office offers a flexible payment plan and financing through Lending Club and CareCredit. You can apply for financing using the “Get Started” button below:

Lending Club

Apply for financing with Lending Club

Get Started
CareCredit

Apply for financing with CareCredit

Get Started
Woman eating a green apple

Insurance Policy

We have gone to great lengths to bring high-quality and affordable dental care to you.

We accept most traditional insurance plans, contact our office to verify acceptance of your plan. Pinole Periodontics & Dental Implants does not participate in Health Management Organizations; however, we will be happy to file your insurance claims for you.

Please contact our office with any questions.

As a courtesy to you, we will bill your insurance company and track claims. Please keep us informed of any changes to your insurance plan. You are responsible for the fees charged by our office, no matter what your insurance coverage may be. Most insurance companies should respond to the claim within four to six weeks. Any remaining cost is your responsibility.

At all times, you can be confident that we will always provide you with our best services and recommend any treatment you may need without regard to the limitations imposed by your insurance coverage. To do otherwise would violate our moral obligation to provide you with the best dental care and help you achieve your best dental health.

Need Dental Financing?

We offer dental financing through Lending Club and CareCredit for dental procedures and services that are not covered by your dental insurance.

Click here for more information regarding payments and dental financing at our office.