Request Appointment Home » Request Appointment New Patient Existing Patient Name: Email: Phone: Preferred Date/Time: Private Insurance: HCF NIB Other insurances NO INSURANCE What are you interested in? Preventive Care Package $120 Surgical wisdom tooth removal Dental implant including final crown Pay No Gap for exam, cleans, fluoride treatment, X-rays Pay No Gap for teeth whitening take-home kit and bleaching trays Bulk bill for children eligible for Medicare CDBS Other Comments or Questions: Leave this field empty