(815) 254-6900

New Patient Information

Insurance & Payment Options

Our office is a fee for service office. We are proud to accept an array of insurance plans. Please contact your insurance company to see if we are contracted with them. As a courtesy, our office will file your insurance claims for you. Our office tries to the best of our ability to inform all patients of their co-payment; however, it is the responsibility of the patient to know their insurance coverage and follow-up on their insurance claims.

Our office accepts cash, check, or credit cards.


Because your smile is important to us, we offer CareCredit, a healthcare credit card specifically designed to pay for treatments and procedures not covered by insurance. CareCredit has a variety of low minimum monthly payment plans, including no interest plans over three, six, or twelve months. So you can start treatment today and use it again and again without having to re-apply.

Call and ask our staff how you can take advantage of CareCredit today!

Charge Today… Make No Payments For 90 Days*
If approved, qualified patients and family members can charge their dental care today and make no payments for 90 days! This convenience allows you time to adjust your budget.

90 Day No Interest Option Every Time You Use Your Card
That’s right… under this plan, if you choose to pay your account in full within 90 days from the date of purchase, you pay no interest! Compare… most credit cards require payment in 30 days.

Low Monthly Payments No Annual Fee
Minimum payments start as low as $10.00 per month. And, you’ll be able to use the card for any future dental treatment. Plus, there is no cost to apply, and no annual fee for this SMART way to pay for your dental care!

To sign up for this plan, or if you have any questions please contact our office.

Patient Forms

The below patient forms can be completed online before your first visit to expedite your check-in process:

Click Here for Patient Forms

We look forward to your first visit!