Patient Resources – Everything You Need for a Seamless Dental Visit

Insurance, Forms, and FAQs – Making Your Dental Experience Stress-Free

Insurances We Accept

For your convenience, we accept a wide range of insurances. Take advantage of your insurance and maintain your dental health with regular visits. We do not accept HMO/DMO or Medicaid plans.
Luna Dental philosophy is based on making you feel at ease throughout your course of treatment. Our comfort-enhancing amenities include a back massaging dental chair, music, and heated aromatherapy neck pillows for your relaxation and enjoyment.

New Patient Paperwork
(Medical History & Privacy Notice)

fill out

Financing

At Luna Dental, we understand that dental treatments can be a significant investment for our patients. That's why we offer a variety of payment options to help make dental care affordable and accessible. We accept cash and all major credit cards for your convenience, making it easy to pay for your treatments. Additionally, we also accept CareCredit, a healthcare credit card that offers flexible payment options including interest-free financing for a limited time. Carecredit can be used to cover out-of-pocket expenses not covered by insurance. The application process is quick and easy, and approval decisions are typically made within minutes. Our goal is to ensure that our patients receive the dental care they need without having to worry about the financial burden.

Please Fill out our Notice of Privacy Practice Form

Please Fill out our Medical History Form

Although dental personnel primarily treat the area in and around your mouth, your mouth is a part of your entire body. Health problems that you may have, or medication that you may be taking, could have an important interrelationship with the dentistry you will receive. Thank you for answering the following questions.

Do you have, or have you had, any of the following?

To the best of my knowledge, the questions on this form have been accurately answered. I understand that providing incorrect information can be dangerous to my (or patient's) health. It is my responsibility to inform the dental office of any changes in medical status.

Signature of Patient, Parent or Guardian: