New Patient Information



 

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Appointment

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete an online appointment request. Should you not be available at the time of your appointment please reach out to our office to cancel your appointment. For any missed or no show appointments you will be charged a fee of $75.00. 

Patient Forms

If you are a new patient to our office, please visit our patient forms page to download our new patient bundle with forms that will need to be completed before you arrive at our office.

Printing, completing, and bringing the forms with you to your appointment, will allow us to attend to your medical needs more quickly than completing them on your arrival. 

Thank you, and please contact our office at (301) 984-4040 if you have any questions at all.

Payment Options

For your convenience, we accept cash, personal checks, money orders, and most major credit cards. Payment is expected at the time services are performed.  Feel free to contact our office If your treatment plan requires more comprehensive dental work and you want to discuss financial arrangements.

   

Dental Insurance

We accept PPO Insurances and Maryland Healthy Smiles Medicaid for Children under 21 and Pregnant women.

Please bring your insurance information with you to the consultation so that we can expedite reimbursement.

METLIFE
DELTA DENTAL
CIGNA
GUARDIAN
GEHA

 

At Potomac Dental Clinic we make every effort to provide you with the finest care and the most convenient financial options. To accomplish this we work hand-in-hand with you to maximize your insurance reimbursement for covered procedures. If you have any problems or questions, please ask our staff. They can be reached at our Rockville Office Phone Number 301-984-4040.

Financial Policy

For your convenience we accept Visa, MasterCard and Discover. We deliver the finest care at the most reasonable cost to our patients, therefore payment is due at the time service is rendered unless other arrangements have been made in advance.

If you have questions regarding your account, please ask our staff at the time of your visit or contact our office at 301-984-4040.
Many times, a simple telephone call will clear any misunderstandings.

Please remember you are fully responsible for all fees charged by this office regardless of your insurance coverage. 

We will send you a monthly statement. Most insurance companies will respond within four to six weeks. Please call our office if your statement does not reflect your insurance payment within that time frame. Any remaining balance after your insurance has paid is your responsibility. Your prompt remittance is appreciated. We can make arrangements for a monthly payment plan but this must be done prior to the actual procedure.

Financing Options

We also offer attractive options for people who do not have insurance. 

CareCredit is here to help you pay for treatments and procedures your insurance does not cover. They offer No Interest* financing or low minimum monthly payment options so you can get what you want, when you want it.

With three simple steps, including an instant approval process, it's easy to apply for Care Credit. After you're approved, you're free to use CareCredit to finance our services.

Now you don't have to worry about saving up for the procedures you want and need. With CareCredit, the decision's in your hands to get what you want, when you want it. For more information or to apply online, visit carecredit.com

Please contact our office if you have any questions regarding dental insurance, payments or financial options that are currently available.  We look forward to serving you!

 

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Potomac Dental Clinic
Creating Beautiful Smiles

Potomac Dental Clinic | 5862 Hubbard Drive, Rockville, MD 20852

Phone: (301)984-4040