On this website you will find patient information forms, financial consent form and privacy notice forms. Please click here to print and complete prior to your first visit. If you have dental insurance, please call the office prior to your appointment to give us your insurance information so we can verify your benefits.  Please check with your insurance carrier prior to your appointment regarding out of network benefits and whether services at Dr. Verbans office are covered under your policy. We will happily submit your insurance forms.  We do accept assignment of benefits from insurance carriers that allow you to visit an out of network provider.  We are also currently working in network with CIGNA Dental Insurance.   The patient is responsible for any balances unpaid of your dental insurance carrier.  Payment or insurance co-payment is expected at the time services are rendered for all patients with or without insurance.  Methods of payment include Visa, Mastercard, Discover, check or cash.

Insurance companies currently in our practice:

  • CIGNA Dental PPO
  • Metlife
  • Delta Dental Premier

If you don’t see your insurance company please give us a call and we would be happy to assist you. Not all of the insurances we accept are on this list. Should you have any questions, regarding your insurance and coverage, our office manager and treatment coordinator will be happy to assist you.

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