Appointment Request

    Are you a current patient?

    Please do not use this form to change an existing appointment.

    As a service to our patients, our practice is in-network providers with the following: Anthem Blue Cross, Cigna Dental, Delta Dental Premier, and Metlife Dental. In addition, we accept most PPO dental insurance programs including Aetna Dental, Blue Shield, Delta Dental PPO, United Concordia, and many more. Our insurance coordinator will prepare all the necessary forms for your dental benefits. However, we would like to remind you that your specific policy is an agreement between you and your insurance company. Please keep in mind that you are responsible for your total obligation should your insurance benefits result in less coverage than anticipated. Our staff will gladly submit a pre-treatment estimate to your insurance company so that you will know exactly what your benefits will be.The fees charged for services rendered to those who are insured are the usual and customary fees charged to all our patients for similar services. Your policy may base its allowances on a fixed fee schedule, which may not coincide with our usual fees. You should be aware that different insurance companies vary greatly in the types of coverage available. Also, some companies take care of claims promptly while others delay payment for several months.If you are unsure of your dental insurance status, please contact our office and the insurance coordinator would gladly double check your coverage.

    Payment Methods
    For your convenience, we accept cash, personal checks, and most major credit cards.

    • We offer interest-free, in-house financing for a MAXIMUM of FOUR installments when putting a credit card on file.
    • A $25 fee will be applied for returned checks.

    Payment is expected at the time services are performed. When more extensive dental care is necessary, financial arrangements can be made within our office.

    Cancellation Policy
    It is appreciated when Ocean Dental Group’s schedule is respected and therefore a $50 fee per scheduled hour may be charged for appointments that are missed or personally cancel outside of the allowed 24 hour time period.

    Please feel free to contact our office at (415)841-9088 for any insurance inquiries and we will gladly help to develop a treatment plan tailored to your specific dental needs.

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