New Patients Clearwater, FL

Online Patient Forms

Patient Forms

Online Forms

We understand finances are a concern for many of our patients. We accept most major dental insurance. In addition, flexible payment arrangements are available. Please don’t let financial concerns keep you from taking care of your dental health

NEW PATIENT FORMS

Quick Insurance Notes

For first-time appointments, we will need the following to verify your insurance:

  • Insurance company name
  • Employer name (if applicable)
  • Benefit or provider telephone number
  • Member Identification number
  • Group number
  • Policy holder’s information

If you have a specific insurance question, please contact us at insurance@cdadental.com and we will be happy to assist you.

 

Insurance Carriers

We accept all PPO dental insurance plans and others as well. Our team will file claims on your behalf, saving you the time and hassle. Below is a comprehensive list of insurance companies that each Doctor is in network with.

Dr. Allen

Dr. Allen is IN-NETWORK with the following insurance companies:

  • Assurant
  • Concordia Flex
  • Dental Health Alliance (DHA) Network
  • Sun Life Financial

Dr. Burton

Dr. Burton is IN-NETWORK with the following insurance companies:

  • Assurant
  • Delta Dental Premier
  • Dental Health Alliance (DHA) Network
  • Sun Life Financial
  • United Concordia Policies
    • Please note that each policy is different. If you have United Concordia Dental Insurance, please contact them to verify your policy recognizes Dr. Burton as an in-network provider.

Dr. Hayslett

Dr. Hayslett is IN-NETWORK with the following insurance companies:

  • Assurant
  • Concordia Flex
  • Dental Health Alliance (DHA) Network
  • Sun Life Financial

Dr. Hernandez

Dr. Hernandez is IN-NETWORK with the following insurance companies:

  • Ameritas
  • Assurant
  • Cigna
  • Delta Dental Premier
  • Dental Health Alliance (DHA) Network
  • GEHA
  • Guardian
  • Lincoln Financial
  • MetLife
  • Principal
  • Reliant Standard
  • Sun Life Financial
  • The Standard
  • United Health Care Dental (UHC Dental)

Dr. Kiskaddon

Dr. Kiskaddon is IN-NETWORK with the following insurance companies:

  • Aetna
  • Assurant
  • Dental Health Alliance (DHA) Network
  • Cigna
  • Guardian
  • MetLife
  • United Health Care Dental (UHC Dental)

 

A doctor that is not in network with your insurance company does not mean that you cannot be seen at our practice or by the doctor you wish to see. As long as your plan offers out of network benefits the doctors can still meet your dental needs.

*Unfortunately, none of our doctors are participating with any DMO, HMO or Medicaid dental plans. If you have any of those plans, please contact your insurance company to find out who will be in your dental network.

Financing Options

To make paying for your care more flexible, our practice is happy to accept financing plans from both Proceed Finance and CareCredit. With them, a patient can break down the cost of their care into easy monthly payments. They have a variety of plans suited for any budget, and there are never any surprise fees or unexpected charges. To explore your options and even sign up for a plan today, click on the links below.

Proceed Finance:

CARE CREDIT