logo

Here is a simple and quick way to apply for reimbursement.
Follow these steps below:

1. Fill out claim form – Download here 

Complete the information needed and please send form to the dental claim address listed on your plan identification card.

            

 

 

 

 

 

 

 

 

2. Attach receipt of consultation 

You will receive a receipt for the consultation through email. Please attach your receipt with the claim form.

 

 

 

 

 

 

 

 

 

3. Submit claim form with receipt

If your insurance provider has any questions don’t hesitate to reach out to us!

 

4. Receive your refund

After submitting your claim, you’ll typically be reimbursed within 2-3 weeks (Depending on provider). Most insurance plans will cover the consultation fee.