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Home
About Us
First Visit
Services
Insurance
Contact
B & Q
Emergency
Post Care
Dental Dictionary
Forms
Employment
Gallery
SPD Only
Please let us know how our billing department can be of assistance. We’re here to help!
We take pride on a quick turnaround. Please allow us 24/48 hours to get back to you.
Patient Information
First Name
Last Name
Parent or Guardian Information
*
First Name
Last Name
Email
*
Cell Phone / Best Number
*
(###)
###
####
Topic of Request
*
Let us know if we can help you with any of these options!
Update Our Insurance
FSA Receipt of Charges
Did you submit to my insurance?
Complete Payment History
Still Awaiting Reimbursement
Other
Name of Dental Insurance Policy Holder
*
First Name
Last Name
Date of Birth of Policy Holder
*
MM
DD
YYYY
Name of Dental Insurance Company
*
Member ID
*
Group Number, Name or Employer
*
Your Billing Question / Issue
Thank you!
The billing department can be reached at (302) 464-0479 on Monday-Friday between 10am-5pm.
